Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $1,548.82 / $2,570.40	Professional	AA	$630.96	$1,548.82	$2,570.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $478.63 / $1,096.48	Professional	QZ	$117.49	$478.63	$1,096.48
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional	AA	$1,479.11	$1,479.11	$1,479.11
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	QZ	$524.81	$524.81	$524.81
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