Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $1,122.02 / $1,621.81	Professional	AA	$562.34	$1,122.02	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $1,445.44 / $1,698.24	Professional	QZ	$758.58	$1,445.44	$1,698.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $851.14 / $1,023.29 / $1,202.26	Professional	AA	$851.14	$1,023.29	$1,202.26
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