Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $2,137.96 / $2,818.38	Professional	AA	$1,174.90	$2,137.96	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $177.83 / $977.24	Professional	QZ	$177.83	$177.83	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional	AA	$1,380.38	$1,380.38	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $338.84 / $1,479.11	Professional	QZ	$194.98	$338.84	$1,479.11
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