Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,202.26 / $1,949.84	Professional	AA	$707.95	$1,202.26	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $46.77 / $338.84 / $645.65	Professional	QZ	$46.77	$338.84	$645.65
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $524.81 / $954.99	Professional	AA	$120.23	$524.81	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $162.18 / $776.25	Professional	QZ	$162.18	$162.18	$776.25
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