Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.99 / $1,120.00 / $1,820.00	Professional	AA	$169.99	$1,120.00	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $598.40 / $659.60 / $679.00	Professional	QZ	$598.40	$659.60	$679.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $292.64 / $700.00	Professional	AA	$154.88	$292.64	$700.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $156.08 / $242.00 / $770.00	Professional	QZ	$156.08	$242.00	$770.00
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
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50