Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,260.00 / $1,400.00	Professional	AA	$1,260.00	$1,260.00	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.50 / $131.50 / $148.10	Professional	QZ	$131.50	$131.50	$148.10
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $180.45 / $544.16 / $1,170.00	Professional	AA	$180.45	$544.16	$1,170.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $175.59 / $276.85 / $1,560.00	Professional	QZ	$175.59	$276.85	$1,560.00
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