Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $892.50 / $892.50 / $892.50	Professional	AA	$892.50	$892.50	$892.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $695.20 / $695.20 / $695.20	Professional	QZ	$695.20	$695.20	$695.20
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.03 / $158.03 / $612.00	Professional	QZ	$158.03	$158.03	$612.00
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