Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.40 / $522.48 / $723.36	Professional	AA	$398.40	$522.48	$723.36
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $412.25 / $779.00 / $779.00	Professional	QZ	$412.25	$779.00	$779.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $101.25 / $101.25 / $287.14	Professional	AA	$101.25	$101.25	$287.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.30 / $212.63 / $243.00	Professional	QZ	$100.30	$212.63	$243.00
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $110.94 / $216.75 / $288.14	Professional	QZ	$110.94	$216.75	$288.14
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $423.30 / $538.41 / $723.36	Professional	AA	$423.30	$538.41	$723.36
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $412.25 / $432.00 / $779.00	Professional	QZ	$412.25	$432.00	$779.00