Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $371.54	Facility		$302.00	$346.74	$371.54
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $524.81 / $912.01	Professional	QX	$524.81	$524.81	$912.01
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $64.57 / $64.57 / $194.98	Professional	QX	$64.57	$64.57	$194.98
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $107.15 / $125.89 / $162.18	Professional	QZ	$107.15	$125.89	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
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