Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $416.00 / $988.00 / $1,806.00	Professional	AA	$416.00	$988.00	$1,806.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $280.00 / $1,290.00 / $2,137.60	Professional	QZ	$280.00	$1,290.00	$2,137.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $204.80 / $220.99 / $1,035.00	Professional	AA	$204.80	$220.99	$1,035.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $143.36 / $1,040.00	Professional	QZ	$122.88	$143.36	$1,040.00
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $284.00 / $684.73 / $903.80	Professional	AA	$284.00	$684.73	$903.80
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $230.41 / $579.49 / $693.00	Professional	QZ	$230.41	$579.49	$693.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $90.00 / $90.00 / $480.00	Professional	AA	$90.00	$90.00	$480.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $632.45 / $632.45 / $632.45	Professional	QZ	$632.45	$632.45	$632.45