Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $851.14 / $1,318.26	Professional	AA	$426.58	$851.14	$1,318.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $549.54 / $1,348.96	Professional	QZ	$269.15	$549.54	$1,348.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $162.18 / $213.80	Professional	AA	$123.03	$162.18	$213.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $104.71 / $162.18 / $275.42	Professional	QZ	$104.71	$162.18	$275.42
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $218.78 / $288.40	Professional	QZ	$97.72	$218.78	$288.40
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional	AA	$478.63	$776.25	$1,202.26
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $436.52 / $933.25	Professional	QZ	$269.15	$436.52	$933.25