Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $705.50 / $1,260.00 / $1,960.00	Professional	AA	$705.50	$1,260.00	$1,960.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.40 / $659.60 / $826.00	Professional	QZ	$446.40	$659.60	$826.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $156.08 / $217.91 / $459.00	Professional	AA	$156.08	$217.91	$459.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $175.59 / $308.39 / $700.00	Professional	QZ	$175.59	$308.39	$700.00
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50