Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,258.93 / $1,949.84	Professional	AA	$724.44	$1,258.93	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $630.96 / $676.08	Professional	QZ	$588.84	$630.96	$676.08
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $154.88 / $457.09	Professional	AA	$154.88	$154.88	$457.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $147.91 / $457.09	Professional	QZ	$147.91	$147.91	$457.09
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $302.00 / $407.38	Professional	AA	$186.21	$302.00	$407.38
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59