Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,047.13 / $1,698.24	Professional	AA	$660.69	$1,047.13	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $630.96 / $1,071.52	Professional	QZ	$144.54	$630.96	$1,071.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $257.04 / $562.34	Professional	AA	$158.49	$257.04	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $245.47 / $616.60	Professional	QZ	$162.18	$245.47	$616.60
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