Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $556.10 / $1,171.49 / $2,100.00	Professional	AA	$556.10	$1,171.49	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $434.72 / $434.72 / $434.72	Professional	QZ	$434.72	$434.72	$434.72
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $351.00 / $650.00 / $1,232.00	Professional	AA	$351.00	$650.00	$1,232.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $65.00 / $283.50 / $405.00	Professional	QZ	$65.00	$283.50	$405.00
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
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QK	$162.80	$162.80	$162.80
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QX	$162.80	$162.80	$162.80
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QY	$162.80	$162.80	$162.80