Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	QZ	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $870.96 / $1,659.59	Professional	AA	$501.19	$870.96	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $575.44 / $1,348.96	Professional	QZ	$316.23	$575.44	$1,348.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $181.97 / $309.03	Professional	AA	$158.49	$181.97	$309.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $162.18 / $204.17	Professional	QZ	$117.49	$162.18	$204.17
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $288.40 / $380.19	Professional	QZ	$128.82	$288.40	$380.19
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $891.25 / $1,513.56	Professional	AA	$562.34	$891.25	$1,513.56
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $575.44 / $1,230.27	Professional	QZ	$316.23	$575.44	$1,230.27