Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,288.25 / $2,041.74	Professional	AA	$724.44	$1,288.25	$2,041.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $851.14 / $1,412.54 / $1,995.26	Professional	QZ	$851.14	$1,412.54	$1,995.26
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 $676.08 / $912.01 / $1,445.44	Professional	AA	$676.08	$912.01	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	QZ	$269.15	$269.15	$269.15