Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $851.14 / $1,258.93	Professional	AA	$575.44	$851.14	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $537.03 / $977.24	Professional	QZ	$316.23	$537.03	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $158.49 / $630.96	Professional	AA	$138.04	$158.49	$630.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $199.53 / $851.14	Professional	QZ	$144.54	$199.53	$851.14
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