Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $112.20 / $831.76 / $1,122.02	Professional	AA	$112.20	$831.76	$1,122.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $91.20 / $234.42 / $1,174.90	Professional	QZ	$91.20	$234.42	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	AA	$478.63	$478.63	$478.63
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