Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $1,621.81 / $2,511.89	Professional	AA	$776.25	$1,621.81	$2,511.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $602.56 / $1,479.11 / $2,344.23	Professional	QZ	$602.56	$1,479.11	$2,344.23
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $288.40 / $1,513.56	Professional	QZ	$223.87	$288.40	$1,513.56
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $933.25 / $1,584.89	Professional	AA	$398.11	$933.25	$1,584.89
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $660.69 / $1,000.00	Professional	QZ	$275.42	$660.69	$1,000.00