Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,148.15 / $2,398.83	Professional	AA	$724.44	$1,148.15	$2,398.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $660.69 / $1,047.13	Professional	QX	$380.19	$660.69	$1,047.13
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $331.13 / $549.54 / $831.76	Professional	QY	$331.13	$549.54	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $467.74 / $1,000.00	Professional	QZ	$371.54	$467.74	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $275.42 / $912.01	Professional	AA	$218.78	$275.42	$912.01
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $107.15 / $181.97 / $363.08	Professional	QX	$107.15	$181.97	$363.08
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $204.17 / $229.09 / $323.59	Professional	QY	$204.17	$229.09	$323.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $316.23 / $977.24	Professional	QZ	$199.53	$316.23	$977.24
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48