Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $346.74 / $1,548.82 / $2,691.53	Professional	AA	$346.74	$1,548.82	$2,691.53
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $691.83 / $812.83	Professional	QZ	$138.04	$691.83	$812.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AA	$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $257.04 / $338.84	Professional	QZ	$194.98	$257.04	$338.84
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48