Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,548.82 / $2,238.72	Professional	AA	$891.25	$1,548.82	$2,238.72
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $537.03 / $2,187.76	Professional	QZ	$138.04	$537.03	$2,187.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $891.25 / $2,187.76	Professional	AA	$645.65	$891.25	$2,187.76
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