Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $907.20 / $1,540.00 / $2,240.00	Professional	AA	$907.20	$1,540.00	$2,240.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $428.40 / $690.56 / $812.00	Professional	QZ	$428.40	$690.56	$812.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $193.60 / $411.21 / $612.00	Professional	QZ	$193.60	$411.21	$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