Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $771.90 / $1,068.34 / $1,313.31	Professional	AA	$771.90	$1,068.34	$1,313.31
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $382.86 / $382.86 / $631.72	Professional	AA	$382.86	$382.86	$631.72
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $364.50 / $364.50 / $364.50	Professional	QZ	$364.50	$364.50	$364.50
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $184.90 / $361.25 / $480.25	Professional	QZ	$184.90	$361.25	$480.25
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $771.90 / $1,149.72 / $1,313.31	Professional	AA	$771.90	$1,149.72	$1,313.31