Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $225.00 / $275.00	Facility		$45.00	$225.00	$275.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $146.21	Professional	AA	$146.21	$146.21	$146.21
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $94.94 / $308.70 / $359.10	Professional	QZ	$94.94	$308.70	$359.10
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.13 / $70.04 / $70.04	Professional	QX	$50.13	$70.04	$70.04
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.07 / $140.07 / $306.00	Professional	QZ	$140.07	$140.07	$306.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $139.57 / $139.57	Facility		$139.57	$139.57	$139.57