Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $634.86 / $634.86 / $1,425.00	Professional	AA	$634.86	$634.86	$1,425.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $160.72 / $210.71 / $498.82	Professional	QZ	$160.72	$210.71	$498.82
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