Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $6,978.50 / $6,978.50 / $6,978.50	Facility	AA	$6,978.50	$6,978.50	$6,978.50
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.40 / $1,260.00 / $2,100.00	Professional	AA	$549.40	$1,260.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $339.57 / $409.50 / $541.79	Professional	QZ	$339.57	$409.50	$541.79
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $168.72 / $585.00 / $1,334.50	Professional	AA	$168.72	$585.00	$1,334.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $160.40 / $549.50 / $1,166.00	Professional	QZ	$160.40	$549.50	$1,166.00
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
Lucent Health Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $39.50 / $52.00	Facility	QY	$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
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $162.80 / $162.80 / $162.80	Facility	QY	$162.80	$162.80	$162.80