Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $703.10 / $1,452.90 / $2,046.80	Professional	AA	$703.10	$1,452.90	$2,046.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $997.60 / $1,469.10 / $1,887.10	Professional	QZ	$997.60	$1,469.10	$1,887.10
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $561.00 / $561.00 / $1,654.95	Professional	AA	$561.00	$561.00	$1,654.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $408.00 / $408.00 / $408.00	Professional	QZ	$408.00	$408.00	$408.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $332.50 / $1,052.93 / $1,220.00	Professional	AA	$332.50	$1,052.93	$1,220.00
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $292.00 / $705.60 / $840.00	Professional	QZ	$292.00	$705.60	$840.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50