Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $977.24 / $1,621.81 / $2,630.27	Professional	AA	$977.24	$1,621.81	$2,630.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $43.65 / $2,041.74 / $2,570.40	Professional	QZ	$43.65	$2,041.74	$2,570.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	AA	$363.08	$363.08	$363.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $223.87 / $302.00	Professional	QZ	$223.87	$223.87	$302.00
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $436.52 / $575.44	Professional	QZ	$194.98	$436.52	$575.44
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $954.99 / $1,621.81 / $2,884.03	Professional	AA	$954.99	$1,621.81	$2,884.03
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $616.60 / $724.44 / $2,187.76	Professional	QZ	$616.60	$724.44	$2,187.76