Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,960.00 / $1,960.00 / $1,960.00	Professional	AA	$1,960.00	$1,960.00	$1,960.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $358.53 / $358.53 / $358.53	Professional	AA	$358.53	$358.53	$358.53
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $880.00 / $880.00 / $880.00	Professional	QZ	$880.00	$880.00	$880.00
Lucent Health Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $39.50 / $52.00	Facility	QK	$37.00	$39.50	$52.00
Lucent Health Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $39.50 / $52.00	Facility	QX	$37.00	$39.50	$52.00
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QK	$162.80	$162.80	$162.80
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QX	$162.80	$162.80	$162.80