Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,494.00 / $1,494.00 / $1,793.22	Professional	AA	$1,494.00	$1,494.00	$1,793.22
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $344.25 / $344.25 / $488.15	Professional	AA	$344.25	$344.25	$488.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $324.00 / $324.00 / $425.25	Professional	QZ	$324.00	$324.00	$425.25
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $295.83 / $609.09 / $768.40	Professional	QZ	$295.83	$609.09	$768.40
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $1,494.00 / $1,793.22 / $1,793.22	Professional	AA	$1,494.00	$1,793.22	$1,793.22