Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,148.15 / $3,630.78	Professional	AA	$645.65	$1,148.15	$3,630.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $363.08 / $478.63	Professional	QZ	$275.42	$363.08	$478.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	AA	$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $338.84 / $338.84	Professional	QZ	$288.40	$338.84	$338.84
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,148.15 / $3,630.78	Professional	AA	$645.65	$1,148.15	$3,630.78
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $107.15 / $363.08 / $478.63	Professional	QZ	$107.15	$363.08	$478.63