Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $457.09 / $512.86	Facility		$50.12	$457.09	$512.86
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $588.84 / $870.96	Professional	AA	$501.19	$588.84	$870.96
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $251.19 / $338.84 / $512.86	Professional	QK	$251.19	$338.84	$512.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $331.13 / $512.86	Professional	QX	$245.47	$331.13	$512.86
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $309.03 / $457.09	Professional	QY	$257.04	$309.03	$457.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $562.34 / $676.08	Professional	QZ	$478.63	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
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 $549.54 / $588.84 / $933.25	Professional	AA	$549.54	$588.84	$933.25
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $436.52 / $501.19 / $758.58	Professional	QK	$436.52	$501.19	$758.58
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $389.05 / $524.81 / $758.58	Professional	QX	$389.05	$524.81	$758.58
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $389.05 / $512.86 / $851.14	Professional	QY	$389.05	$512.86	$851.14
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $478.63 / $630.96	Professional	QZ	$363.08	$478.63	$630.96