Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $489.78 / $851.14	Professional	AA	$234.42	$489.78	$851.14
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $398.11 / $537.03	Professional	QX	$269.15	$398.11	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $446.68	Professional	QY	$269.15	$389.05	$446.68
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	QZ	$457.09	$457.09	$457.09
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	AA	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	QX	$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $104.71 / $104.71 / $120.23	Professional	QZ	$104.71	$104.71	$120.23
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