Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,170.00 / $1,170.00 / $1,620.00	Professional	AA	$1,170.00	$1,170.00	$1,620.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $882.00 / $959.00 / $1,071.00	Professional	QZ	$882.00	$959.00	$1,071.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $357.00 / $357.00 / $357.00	Professional	AA	$357.00	$357.00	$357.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $178.11 / $459.00 / $1,173.00	Professional	QZ	$178.11	$459.00	$1,173.00
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