Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,380.38 / $2,344.23	Professional	AA	$870.96	$1,380.38	$2,344.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $1,584.89 / $2,187.76	Professional	QZ	$138.04	$1,584.89	$2,187.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $281.84 / $354.81	Professional	AA	$281.84	$281.84	$354.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $199.53 / $263.03	Professional	QZ	$199.53	$199.53	$263.03
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $407.38 / $407.38	Professional	QZ	$363.08	$407.38	$407.38
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,288.25 / $2,344.23	Professional	AA	$870.96	$1,288.25	$2,344.23
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $1,584.89 / $1,995.26	Professional	QZ	$138.04	$1,584.89	$1,995.26