Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $446.68	Facility		$363.08	$416.87	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $707.95 / $1,047.13	Professional	AA	$467.74	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $95.50 / $407.38 / $660.69	Professional	QK	$95.50	$407.38	$660.69
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $131.83 / $416.87 / $724.44	Professional	QX	$131.83	$416.87	$724.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $199.53 / $363.08 / $537.03	Professional	QY	$199.53	$363.08	$537.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $426.58 / $741.31	Professional	QZ	$144.54	$426.58	$741.31
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $158.49 / $354.81	Professional	AA	$138.04	$158.49	$354.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $66.07 / $97.72 / $257.04	Professional	QK	$66.07	$97.72	$257.04
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.61 / $87.10 / $169.82	Professional	QX	$67.61	$87.10	$169.82
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $100.00 / $218.78	Professional	QY	$67.61	$100.00	$218.78
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $165.96 / $389.05	Professional	QZ	$120.23	$165.96	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
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