Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $371.54	Facility		$302.00	$346.74	$371.54
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $707.95 / $1,000.00	Professional	AA	$467.74	$707.95	$1,000.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $229.09 / $354.81 / $562.34	Professional	QK	$229.09	$354.81	$562.34
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $363.08 / $630.96	Professional	QX	$234.42	$363.08	$630.96
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $239.88 / $346.74 / $489.78	Professional	QY	$239.88	$346.74	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $234.42 / $446.68 / $660.69	Professional	QZ	$234.42	$446.68	$660.69
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.00 / $120.23 / $389.05	Professional	AA	$100.00	$120.23	$389.05
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $48.98 / $58.88 / $169.82	Professional	QK	$48.98	$58.88	$169.82
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $48.98 / $58.88 / $169.82	Professional	QX	$48.98	$58.88	$169.82
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $70.79 / $85.11 / $158.49	Professional	QY	$70.79	$85.11	$158.49
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $117.49 / $257.04	Professional	QZ	$97.72	$117.49	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
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