Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $614.20 / $877.25 / $1,108.80	Professional	AA	$614.20	$877.25	$1,108.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.47 / $212.70 / $660.00	Professional	AA	$160.47	$212.70	$660.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $222.75 / $222.75 / $222.75	Professional	QZ	$222.75	$222.75	$222.75
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $184.90 / $361.25 / $480.25	Professional	QZ	$184.90	$361.25	$480.25
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $614.20 / $1,108.80 / $1,108.80	Professional	AA	$614.20	$1,108.80	$1,108.80