Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $97.72 / $676.08 / $851.14	Professional	AA	$97.72	$676.08	$851.14
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $660.69 / $676.08	Professional	AA	$120.23	$660.69	$676.08
HealthNet Facility/Professional Professional Modifier AA Low / Median / High Price $4.07 / $4.07 / $4.07	Professional	AA	$4.07	$4.07	$4.07
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