Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $565.77 / $1,400.00 / $2,380.00	Professional	AA	$565.77	$1,400.00	$2,380.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $292.80 / $596.00 / $952.00	Professional	QZ	$292.80	$596.00	$952.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.72 / $459.00 / $1,042.99	Professional	AA	$160.72	$459.00	$1,042.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $135.52 / $274.14 / $910.00	Professional	QZ	$135.52	$274.14	$910.00
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50