Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,540.00 / $2,240.00	Professional	AA	$980.00	$1,540.00	$2,240.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $715.20 / $866.70 / $866.70	Professional	QZ	$715.20	$866.70	$866.70
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $261.17 / $544.16 / $700.00	Professional	AA	$261.17	$544.16	$700.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.80 / $479.74 / $1,690.00	Professional	QZ	$204.80	$479.74	$1,690.00
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