Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $794.33 / $1,096.48 / $1,995.26	Professional	AA	$794.33	$1,096.48	$1,995.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $602.56 / $954.99	Professional	QZ	$398.11	$602.56	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $173.78 / $302.00	Professional	AA	$120.23	$173.78	$302.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $177.83 / $316.23	Professional	QZ	$162.18	$177.83	$316.23
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