Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,820.00 / $2,520.00 / $3,500.00	Professional	AA	$1,820.00	$2,520.00	$3,500.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $987.01 / $1,098.09 / $1,098.09	Professional	QZ	$987.01	$1,098.09	$1,098.09
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $261.17 / $816.25 / $980.00	Professional	AA	$261.17	$816.25	$980.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $371.06 / $544.23 / $1,173.00	Professional	QZ	$371.06	$544.23	$1,173.00
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