Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional	AA	$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $1,122.02 / $1,122.02	Professional	QZ	$870.96	$1,122.02	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	AA	$426.58	$426.58	$426.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $446.68 / $977.24	Professional	QZ	$354.81	$446.68	$977.24
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48