Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $107.43 / $840.00 / $1,260.00	Professional	AA	$107.43	$840.00	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $216.00 / $539.00 / $539.00	Professional	QZ	$216.00	$539.00	$539.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $151.01 / $171.34 / $665.00	Professional	QZ	$151.01	$171.34	$665.00
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