Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $428.80 / $1,169.00 / $2,100.00	Professional	AA	$428.80	$1,169.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $219.26 / $1,221.20 / $1,929.30	Professional	QZ	$219.26	$1,221.20	$1,929.30
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.32 / $175.52 / $1,103.30	Professional	AA	$158.32	$175.52	$1,103.30
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.63 / $140.63 / $306.00	Professional	QZ	$140.63	$140.63	$306.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $279.54 / $698.48 / $1,234.55	Professional	AA	$279.54	$698.48	$1,234.55
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $177.97 / $481.60 / $992.33	Professional	QZ	$177.97	$481.60	$992.33