Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	QZ	$426.58	$426.58	$426.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	QZ	$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $165.96 / $263.03	Professional	QZ	$95.50	$165.96	$263.03