Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,047.13 / $1,445.44 / $2,818.38	Professional	AA	$1,047.13	$1,445.44	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $1,096.48 / $2,570.40	Professional	QZ	$758.58	$1,096.48	$2,570.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $323.59 / $977.24 / $1,621.81	Professional	AA	$323.59	$977.24	$1,621.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $691.83 / $2,454.71	Professional	QZ	$407.38	$691.83	$2,454.71
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