Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $51.29 / $1,513.56 / $1,778.28	Professional	QZ	$51.29	$1,513.56	$1,778.28
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $204.17 / $512.86	Professional	QZ	$162.18	$204.17	$512.86
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $288.40 / $380.19	Professional	QZ	$128.82	$288.40	$380.19
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $758.58	Professional	QZ	$758.58	$758.58	$758.58