Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,454.71 / $3,715.35 / $4,677.35	Professional	AA	$2,454.71	$3,715.35	$4,677.35
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional	QZ	$3,019.95	$3,019.95	$3,019.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $2,187.76 / $3,801.89	Professional	QZ	$371.54	$2,187.76	$3,801.89
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 $1,621.81 / $1,778.28 / $2,691.53	Professional	AA	$1,621.81	$1,778.28	$2,691.53