Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $350.00 / $350.00	Facility		$40.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $146.21	Professional	AA	$146.21	$146.21	$146.21
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $778.75 / $778.75 / $901.71	Professional	QX	$778.75	$778.75	$901.71
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $140.63 / $255.00	Professional	QZ	$117.06	$140.63	$255.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
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