Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,000.00 / $1,318.26	Professional	AA	$588.84	$1,000.00	$1,318.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $851.14 / $851.14	Professional	QZ	$537.03	$851.14	$851.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $354.81 / $977.24	Professional	QZ	$162.18	$354.81	$977.24
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