Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $577.15 / $994.14 / $1,356.30	Professional	AA	$577.15	$994.14	$1,356.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $641.30 / $1,795.50 / $1,795.50	Professional	QZ	$641.30	$1,795.50	$1,795.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $488.15 / $488.15 / $488.15	Professional	AA	$488.15	$488.15	$488.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.41 / $180.54 / $202.50	Professional	QZ	$140.41	$180.54	$202.50
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 $646.79 / $1,061.28 / $1,356.30	Professional	AA	$646.79	$1,061.28	$1,356.30
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $641.30 / $1,795.50 / $1,795.50	Professional	QZ	$641.30	$1,795.50	$1,795.50