Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $812.83 / $1,621.81	Professional	AA	$489.78	$812.83	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $501.19 / $794.33	Professional	QZ	$208.93	$501.19	$794.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $173.78 / $537.03	Professional	AA	$117.49	$173.78	$537.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $199.53 / $660.69	Professional	QZ	$123.03	$199.53	$660.69
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