Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $1,174.90 / $2,187.76	Professional	AA	$1,174.90	$1,174.90	$2,187.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $524.81 / $1,288.25	Professional	QZ	$524.81	$524.81	$1,288.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $173.78 / $199.53	Professional	QZ	$173.78	$173.78	$199.53
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $363.08 / $478.63	Professional	QZ	$162.18	$363.08	$478.63
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $1,174.90 / $2,187.76	Professional	AA	$1,174.90	$1,174.90	$2,187.76
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $524.81 / $1,288.25	Professional	QZ	$524.81	$524.81	$1,288.25