Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $239.88 / $851.14 / $1,122.02	Professional	AA	$239.88	$851.14	$1,122.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $91.20 / $190.55 / $851.14	Professional	QZ	$91.20	$190.55	$851.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	QZ	$660.69	$660.69	$660.69
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 $169.82 / $562.34 / $645.65	Professional	AA	$169.82	$562.34	$645.65
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $165.96 / $165.96 / $524.81	Professional	QZ	$165.96	$165.96	$524.81