Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $107.43 / $840.00 / $1,260.00	Professional	AA	$107.43	$840.00	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $89.01 / $235.20 / $686.00	Professional	QZ	$89.01	$235.20	$686.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.30 / $453.47 / $780.00	Professional	AA	$120.30	$453.47	$780.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $174.24 / $600.00	Professional	QZ	$117.06	$174.24	$600.00
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