Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $498.58 / $498.58 / $498.58	Professional	QZ	$498.58	$498.58	$498.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $115.86 / $135.16 / $145.11	Professional	QZ	$115.86	$135.16	$145.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96