Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,258.93 / $1,737.80	Professional	AA	$724.44	$1,258.93	$1,737.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Professional	QZ	$1,445.44	$1,445.44	$1,698.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $177.83 / $257.04	Professional	AA	$177.83	$177.83	$257.04
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $162.18 / $181.97	Professional	QZ	$162.18	$162.18	$181.97
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $338.84 / $338.84	Professional	QZ	$288.40	$338.84	$338.84
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,122.02 / $1,737.80	Professional	AA	$724.44	$1,122.02	$1,737.80