Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,862.09 / $2,754.23	Professional	AA	$870.96	$1,862.09	$2,754.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $186.21 / $1,737.80 / $2,187.76	Professional	QZ	$186.21	$1,737.80	$2,187.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional	QZ	$1,202.26	$1,202.26	$1,412.54
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 $323.59 / $1,096.48 / $1,288.25	Professional	AA	$323.59	$1,096.48	$1,288.25
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $758.58 / $1,202.26	Professional	QZ	$316.23	$758.58	$1,202.26