Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $851.14 / $1,288.25	Professional	AA	$602.56	$851.14	$1,288.25
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $281.84 / $457.09 / $691.83	Professional	QK	$281.84	$457.09	$691.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $288.40 / $457.09 / $776.25	Professional	QX	$288.40	$457.09	$776.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $436.52 / $645.65	Professional	QY	$316.23	$436.52	$645.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $323.59 / $549.54 / $1,047.13	Professional	QZ	$323.59	$549.54	$1,047.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $158.49 / $245.47	Professional	AA	$141.25	$158.49	$245.47
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.79 / $91.20 / $229.09	Professional	QK	$70.79	$91.20	$229.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.62 / $89.13 / $218.78	Professional	QX	$77.62	$89.13	$218.78
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $70.79 / $87.10 / $128.82	Professional	QY	$70.79	$87.10	$128.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $177.83 / $363.08	Professional	QZ	$138.04	$177.83	$363.08
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QK	$134.90	$134.90	$134.90
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QX	$134.90	$134.90	$134.90
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QY	$134.90	$134.90	$134.90