Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $432.00 / $437.10	Facility		$245.00	$432.00	$437.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $465.08 / $548.79 / $755.76	Professional	AA	$465.08	$548.79	$755.76
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $245.00 / $289.44 / $350.11	Professional	QK	$245.00	$289.44	$350.11
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $223.91 / $266.83 / $343.08	Professional	QX	$223.91	$266.83	$343.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $237.19 / $372.60 / $618.38	Professional	QY	$237.19	$372.60	$618.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $447.81 / $550.62 / $647.79	Professional	QZ	$447.81	$550.62	$647.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $71.02 / $170.44	Facility		$18.26	$71.02	$170.44
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $500.21 / $602.10 / $629.89	Professional	AA	$500.21	$602.10	$629.89
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $322.62 / $421.48 / $567.29	Professional	QK	$322.62	$421.48	$567.29
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $273.00 / $380.86 / $626.79	Professional	QX	$273.00	$380.86	$626.79
Highmark BCBS Facility/Professional Professional Modifier QY Low / Median / High Price $317.74 / $415.51 / $533.60	Professional	QY	$317.74	$415.51	$533.60
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $269.01 / $371.97 / $506.43	Professional	QZ	$269.01	$371.97	$506.43