Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,621.81 / $3,019.95	Professional	AA	$707.95	$1,621.81	$3,019.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $549.54 / $1,445.44 / $2,137.96	Professional	QZ	$549.54	$1,445.44	$2,137.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional	QZ	$870.96	$870.96	$1,096.48
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 $269.15 / $724.44 / $1,148.15	Professional	AA	$269.15	$724.44	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $831.76 / $1,071.52	Professional	QZ	$524.81	$831.76	$1,071.52