Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,033.26 / $1,820.00 / $4,060.00	Professional	AA	$1,033.26	$1,820.00	$4,060.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $470.40 / $686.00 / $987.00	Professional	QZ	$470.40	$686.00	$987.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $242.00 / $411.21 / $980.00	Professional	QZ	$242.00	$411.21	$980.00
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