Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $397.70 / $1,435.00 / $3,164.70	Professional	AA	$397.70	$1,435.00	$3,164.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $674.41 / $674.41 / $674.41	Professional	QZ	$674.41	$674.41	$674.41
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $744.45 / $744.45 / $744.45	Professional	AA	$744.45	$744.45	$744.45
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $221.88 / $433.50 / $576.29	Professional	QZ	$221.88	$433.50	$576.29
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $948.60 / $1,503.48 / $3,164.70	Professional	AA	$948.60	$1,503.48	$3,164.70
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $674.41 / $674.41 / $674.41	Professional	QZ	$674.41	$674.41	$674.41