Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $3,360.00 / $3,360.00 / $3,780.00	Professional	AA	$3,360.00	$3,360.00	$3,780.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,124.20 / $1,124.20 / $1,124.20	Professional	QZ	$1,124.20	$1,124.20	$1,124.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $321.44 / $321.44 / $321.44	Professional	AA	$321.44	$321.44	$321.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $685.34 / $714.00 / $1,326.00	Professional	QZ	$685.34	$714.00	$1,326.00
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