Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,380.38 / $2,290.87	Professional	AA	$588.84	$1,380.38	$2,290.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $190.55 / $616.60 / $1,288.25	Professional	QZ	$190.55	$616.60	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $707.95 / $1,023.29	Professional	AA	$549.54	$707.95	$1,023.29
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $501.19 / $1,000.00	Professional	QZ	$158.49	$501.19	$1,000.00
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