Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $627.20 / $795.96 / $1,038.18	Professional	AA	$627.20	$795.96	$1,038.18
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.58 / $674.41 / $824.50	Professional	QZ	$398.58	$674.41	$824.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.41 / $255.24 / $319.05	Professional	AA	$140.41	$255.24	$319.05
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.00 / $243.00 / $334.13	Professional	QZ	$162.00	$243.00	$334.13
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $184.90 / $406.06 / $480.25	Professional	QZ	$184.90	$406.06	$480.25
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $707.74 / $842.40 / $1,108.80	Professional	AA	$707.74	$842.40	$1,108.80
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $398.58 / $674.41 / $989.40	Professional	QZ	$398.58	$674.41	$989.40