Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,905.46 / $3,162.28	Professional	AA	$891.25	$1,905.46	$3,162.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,047.13 / $2,041.74 / $3,235.94	Professional	QZ	$1,047.13	$2,041.74	$3,235.94
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Professional	AA	$1,230.27	$1,230.27	$2,187.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $144.54 / $2,290.87	Professional	QZ	$144.54	$144.54	$2,290.87
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 $489.78 / $1,288.25 / $2,511.89	Professional	AA	$489.78	$1,288.25	$2,511.89
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $724.44 / $851.14 / $1,122.02	Professional	QZ	$724.44	$851.14	$1,122.02