Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $239.88 / $1,412.54 / $1,995.26	Professional	AA	$239.88	$1,412.54	$1,995.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $1,513.56 / $1,949.84	Professional	QZ	$213.80	$1,513.56	$1,949.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional	QZ	$2,511.89	$2,511.89	$2,511.89
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 $223.87 / $707.95 / $1,148.15	Professional	AA	$223.87	$707.95	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $602.56 / $741.31 / $851.14	Professional	QZ	$602.56	$741.31	$851.14