Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	QZ	$288.40	$288.40	$288.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $138.04 / $162.18	Professional	QZ	$138.04	$138.04	$162.18
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $288.40 / $380.19	Professional	QZ	$128.82	$288.40	$380.19