Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	QZ	$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $954.99 / $1,778.28	Professional	AA	$467.74	$954.99	$1,778.28
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $588.84 / $776.25	Professional	AA	$389.05	$588.84	$776.25
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