Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,348.96 / $2,454.71 / $3,090.30	Professional	AA	$1,348.96	$2,454.71	$3,090.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $977.24 / $1,584.89 / $3,019.95	Professional	QZ	$977.24	$1,584.89	$3,019.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional	QZ	$1,513.56	$1,513.56	$1,513.56
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 $501.19 / $1,513.56 / $2,137.96	Professional	AA	$501.19	$1,513.56	$2,137.96
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	QZ	$831.76	$831.76	$831.76