Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,258.93 / $1,949.84 / $2,511.89	Professional	AA	$1,258.93	$1,949.84	$2,511.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	QZ	$177.83	$177.83	$177.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $912.01 / $977.24	Professional	AA	$776.25	$912.01	$977.24
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