Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $1,148.15 / $1,819.70	Professional	AA	$213.80	$1,148.15	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $354.81 / $478.63	Professional	QZ	$131.83	$354.81	$478.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $478.63 / $891.25	Professional	AA	$478.63	$478.63	$891.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	QZ	$1,023.29	$1,023.29	$1,023.29
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