Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $262.50 / $346.10	Facility		$250.00	$262.50	$346.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $529.29 / $529.29 / $529.29	Professional	AA	$529.29	$529.29	$529.29
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $148.88 / $148.88 / $182.25	Professional	QZ	$148.88	$148.88	$182.25
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $78.31 / $153.00 / $203.40	Professional	QX	$78.31	$153.00	$203.40
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $289.00 / $384.20	Professional	QZ	$147.91	$289.00	$384.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $346.10	Facility		$260.00	$260.00	$346.10
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $529.29 / $529.29 / $529.29	Professional	AA	$529.29	$529.29	$529.29