Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,820.00 / $1,820.00 / $1,820.00	Professional	AA	$1,820.00	$1,820.00	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $523.83 / $590.40 / $590.40	Professional	QZ	$523.83	$590.40	$590.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $175.59 / $175.59 / $175.59	Professional	AA	$175.59	$175.59	$175.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.44 / $193.60 / $459.00	Professional	QZ	$143.44	$193.60	$459.00
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