Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional	AA	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	QZ	$562.34	$562.34	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	QZ	$776.25	$776.25	$776.25
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