Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $954.99 / $1,148.15 / $2,511.89	Professional	AA	$954.99	$1,148.15	$2,511.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	QZ	$302.00	$302.00	$302.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $645.65 / $645.65	Professional	AA	$645.65	$645.65	$645.65
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