Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $862.40 / $862.40 / $862.40	Professional	AA	$862.40	$862.40	$862.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $690.56 / $690.56 / $690.56	Professional	QZ	$690.56	$690.56	$690.56
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $240.72 / $240.72 / $240.72	Professional	QZ	$240.72	$240.72	$240.72
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $184.90 / $406.06 / $480.25	Professional	QZ	$184.90	$406.06	$480.25
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $862.40 / $862.40 / $862.40	Professional	AA	$862.40	$862.40	$862.40
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $484.35 / $484.35 / $484.35	Professional	QZ	$484.35	$484.35	$484.35