Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $784.00 / $1,120.00 / $1,820.00	Professional	AA	$784.00	$1,120.00	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $318.24 / $630.00 / $686.00	Professional	QZ	$318.24	$630.00	$686.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $170.71 / $306.00 / $840.00	Professional	AA	$170.71	$306.00	$840.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $156.08 / $220.55 / $612.00	Professional	QZ	$156.08	$220.55	$612.00
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