Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $429.16 / $429.16 / $509.36	Professional	AA	$429.16	$429.16	$509.36
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $87.96 / $99.49 / $480.25	Professional	QX	$87.96	$99.49	$480.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $267.00 / $267.00 / $389.60	Professional	QY	$267.00	$267.00	$389.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $455.00 / $455.00 / $455.00	Professional	QZ	$455.00	$455.00	$455.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $80.36 / $80.36 / $80.36	Professional	AA	$80.36	$80.36	$80.36
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.54 / $120.54 / $204.00	Professional	QZ	$120.54	$120.54	$204.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $240.00	Professional	QY	$120.00	$120.00	$240.00
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