Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $125.90 / $365.40 / $396.90	Professional	QZ	$125.90	$365.40	$396.90
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $123.92 / $123.92 / $123.92	Professional	QX	$123.92	$123.92	$123.92
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $306.00 / $306.00	Professional	QZ	$306.00	$306.00	$306.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $140.00 / $234.00 / $340.72	Professional	AA	$140.00	$234.00	$340.72
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $39.56 / $70.00 / $151.24	Professional	QX	$39.56	$70.00	$151.24
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $112.00 / $160.00 / $242.00	Professional	QZ	$112.00	$160.00	$242.00