Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $639.90 / $639.90 / $639.90	Professional	AA	$639.90	$639.90	$639.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $273.00 / $273.00 / $360.36	Professional	QZ	$273.00	$273.00	$360.36
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $338.39 / $384.20	Professional	QZ	$147.91	$338.39	$384.20
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $639.90 / $639.90 / $639.90	Professional	AA	$639.90	$639.90	$639.90
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $273.00 / $273.00 / $360.36	Professional	QZ	$273.00	$273.00	$360.36