Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,047.13 / $1,905.46	Professional	AA	$549.54	$1,047.13	$1,905.46
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $870.96 / $1,621.81	Professional	QZ	$309.03	$870.96	$1,621.81
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $181.97 / $338.84	Professional	AA	$138.04	$181.97	$338.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $162.18 / $331.13	Professional	QZ	$117.49	$162.18	$331.13
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $269.15 / $269.15	Professional	QZ	$218.78	$269.15	$269.15
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $1,000.00 / $1,819.70	Professional	AA	$524.81	$1,000.00	$1,819.70
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $630.96 / $1,445.44	Professional	QZ	$213.80	$630.96	$1,445.44