Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $2,089.30 / $2,818.38	Professional	AA	$144.54	$2,089.30	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $524.81 / $1,862.09	Professional	QZ	$117.49	$524.81	$1,862.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $186.21 / $309.03	Professional	QZ	$141.25	$186.21	$309.03
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 $144.54 / $1,949.84 / $2,818.38	Professional	AA	$144.54	$1,949.84	$2,818.38
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $128.82 / $1,862.09	Professional	QZ	$117.49	$128.82	$1,862.09