Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,348.96 / $2,398.83	Professional	AA	$660.69	$1,348.96	$2,398.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $676.08 / $1,737.80	Professional	QZ	$288.40	$676.08	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $676.08 / $954.99	Professional	AA	$416.87	$676.08	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $302.00 / $2,041.74	Professional	QZ	$218.78	$302.00	$2,041.74
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