Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $257.04 / $346.74	Facility		$251.19	$257.04	$346.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	AA	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $691.83 / $912.01	Professional	QX	$524.81	$691.83	$912.01
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $331.13 / $2,187.76	Professional	QZ	$95.50	$331.13	$2,187.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $104.71 / $120.23	Professional	QZ	$100.00	$104.71	$120.23
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $69.18 / $151.36 / $204.17	Professional	QX	$69.18	$151.36	$204.17
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $288.40 / $380.19	Professional	QZ	$128.82	$288.40	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Facility		$257.04	$257.04	$338.84
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	AA	$524.81	$524.81	$524.81
Health Alliance Plan Facility/Professional Professional Modifier QX Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	QX	$691.83	$691.83	$691.83
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $331.13 / $2,187.76	Professional	QZ	$95.50	$331.13	$2,187.76