Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $861.30 / $861.30 / $861.30	Professional	AA	$861.30	$861.30	$861.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $172.30 / $1,071.00 / $1,071.00	Professional	QZ	$172.30	$1,071.00	$1,071.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $220.99 / $220.99 / $220.99	Professional	AA	$220.99	$220.99	$220.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.60 / $180.81 / $663.00	Professional	QZ	$157.60	$180.81	$663.00
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