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 $108.07 / $108.07 / $700.00	Professional	AA	$108.07	$108.07	$700.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $724.21 / $724.21 / $724.21	Professional	QX	$724.21	$724.21	$724.21
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $307.20 / $307.20 / $331.20	Professional	QZ	$307.20	$307.20	$331.20
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.45 / $140.63 / $306.00	Professional	QZ	$100.45	$140.63	$306.00
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