Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $461.35 / $840.00 / $2,100.00	Professional	AA	$461.35	$840.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $273.60 / $591.60 / $784.00	Professional	QZ	$273.60	$591.60	$784.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.72 / $453.47 / $570.00	Professional	AA	$160.72	$453.47	$570.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $126.57 / $239.87 / $560.00	Professional	QZ	$126.57	$239.87	$560.00
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