Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $933.25 / $1,548.82	Professional	AA	$549.54	$933.25	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $707.95 / $1,047.13	Professional	QZ	$416.87	$707.95	$1,047.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $213.80 / $676.08	Professional	AA	$181.97	$213.80	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $245.47 / $562.34	Professional	QZ	$158.49	$245.47	$562.34
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