Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,398.83 / $2,884.03 / $3,801.89	Professional	AA	$2,398.83	$2,884.03	$3,801.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $676.08 / $912.01 / $1,122.02	Professional	QZ	$676.08	$912.01	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional	AA	$1,096.48	$1,096.48	$1,096.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional	QZ	$1,174.90	$1,174.90	$1,174.90
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