Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,380.38 / $1,819.70 / $3,630.78	Professional	AA	$1,380.38	$1,819.70	$3,630.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $537.03 / $549.54	Professional	QZ	$467.74	$537.03	$549.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AA	$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $162.18 / $181.97	Professional	QZ	$162.18	$162.18	$181.97
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $363.08 / $478.63	Professional	QZ	$162.18	$363.08	$478.63
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $1,380.38 / $1,819.70 / $3,630.78	Professional	AA	$1,380.38	$1,819.70	$3,630.78
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $537.03 / $549.54	Professional	QZ	$467.74	$537.03	$549.54