Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $1,148.15 / $3,090.30	Professional	AA	$199.53	$1,148.15	$3,090.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $398.11 / $549.54	Professional	QZ	$398.11	$398.11	$549.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	QZ	$323.59	$323.59	$323.59
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