Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $977.24 / $1,862.09	Professional	AA	$562.34	$977.24	$1,862.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $549.54 / $1,148.15	Professional	QZ	$144.54	$549.54	$1,148.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $218.78 / $380.19	Professional	AA	$134.90	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $338.84 / $794.33	Professional	QZ	$158.49	$338.84	$794.33
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