Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $972.00 / $972.00 / $972.00	Facility	QZ	$972.00	$972.00	$972.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $539.50 / $678.44 / $972.84	Professional	AA	$539.50	$678.44	$972.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $577.15 / $577.15 / $578.33	Professional	QZ	$577.15	$577.15	$578.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $182.25 / $200.60 / $201.00	Professional	AA	$182.25	$200.60	$201.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $127.01 / $273.38 / $291.60	Professional	QZ	$127.01	$273.38	$291.60
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $289.00 / $384.20	Professional	QZ	$147.91	$289.00	$384.20
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $584.60 / $795.96 / $972.84	Professional	AA	$584.60	$795.96	$972.84
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $577.15 / $578.33 / $659.60	Professional	QZ	$577.15	$578.33	$659.60
United Facility/Professional Professional Modifier QZ Low / Median / High Price $632.45 / $632.45 / $632.45	Professional	QZ	$632.45	$632.45	$632.45