Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $675.93 / $751.03 / $814.97	Professional	AA	$675.93	$751.03	$814.97
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.63 / $140.63 / $408.00	Professional	AA	$140.63	$140.63	$408.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $135.52 / $135.52 / $478.19	Professional	QZ	$135.52	$135.52	$478.19
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