Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $190.72 / $973.00 / $1,960.00	Professional	AA	$190.72	$973.00	$1,960.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $145.78 / $693.60 / $1,071.00	Professional	QZ	$145.78	$693.60	$1,071.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $220.99 / $544.16 / $680.21	Professional	AA	$220.99	$544.16	$680.21
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.32 / $266.20 / $714.00	Professional	QZ	$158.32	$266.20	$714.00
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