Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,047.13 / $1,698.24 / $2,630.27	Professional	AA	$1,047.13	$1,698.24	$2,630.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $630.96 / $2,398.83	Professional	QZ	$524.81	$630.96	$2,398.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $194.98 / $954.99 / $2,238.72	Professional	AA	$194.98	$954.99	$2,238.72
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $194.98 / $1,258.93	Professional	QZ	$194.98	$194.98	$1,258.93
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