Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $954.99 / $1,548.82	Professional	AA	$501.19	$954.99	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $489.78 / $1,318.26	Professional	QZ	$281.84	$489.78	$1,318.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $602.56 / $776.25	Professional	AA	$177.83	$602.56	$776.25
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