Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $204.17 / $1,148.15 / $1,621.81	Professional	AA	$204.17	$1,148.15	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $131.83 / $676.08	Professional	QZ	$131.83	$131.83	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $213.80 / $1,513.56	Professional	QZ	$173.78	$213.80	$1,513.56
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