Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,412.54 / $1,949.84	Professional	AA	$660.69	$1,412.54	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $1,412.54 / $1,737.80	Professional	QZ	$346.74	$1,412.54	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $977.24 / $977.24 / $977.24	Professional	AA	$977.24	$977.24	$977.24
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $977.24 / $977.24 / $1,202.26	Professional	QZ	$977.24	$977.24	$1,202.26
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 $331.13 / $1,047.13 / $1,230.27	Professional	AA	$331.13	$1,047.13	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $630.96 / $851.14	Professional	QZ	$245.47	$630.96	$851.14