Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $133.50 / $133.50 / $815.40	Professional	AA	$133.50	$133.50	$815.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.35 / $140.35 / $140.35	Professional	AA	$140.35	$140.35	$140.35
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
United Facility/Professional Professional Modifier AA Low / Median / High Price $80.00 / $80.00 / $85.00	Professional	AA	$80.00	$80.00	$85.00