Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,344.23 / $2,511.89	Professional	AA	$1,659.59	$2,344.23	$2,511.89
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $239.88 / $295.12 / $537.03	Professional	AA	$239.88	$295.12	$537.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $812.83 / $3,388.44	Professional	QZ	$263.03	$812.83	$3,388.44
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