Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $891.25 / $1,513.56	Professional	AA	$398.11	$891.25	$1,513.56
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $354.81 / $851.14	Professional	QZ	$100.00	$354.81	$851.14
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $467.74 / $954.99	Professional	AA	$138.04	$467.74	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $562.34 / $676.08	Professional	QZ	$562.34	$562.34	$676.08
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