Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $1,000.00 / $1,949.84	Professional	AA	$501.19	$1,000.00	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $524.81 / $1,174.90	Professional	QZ	$213.80	$524.81	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $676.08 / $1,380.38	Professional	AA	$426.58	$676.08	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $524.81 / $575.44	Professional	QZ	$138.04	$524.81	$575.44
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