Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $851.14 / $1,412.54	Professional	AA	$660.69	$851.14	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $23.99 / $1,202.26 / $1,698.24	Professional	QZ	$23.99	$1,202.26	$1,698.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AA	$457.09	$457.09	$457.09
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