Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $691.20 / $691.20	Facility		$392.00	$691.20	$691.20
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $651.36 / $955.08 / $1,254.06	Professional	AA	$651.36	$955.08	$1,254.06
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $105.11 / $461.67 / $554.85	Professional	QK	$105.11	$461.67	$554.85
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $419.31 / $490.00 / $576.03	Professional	QX	$419.31	$490.00	$576.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $142.03 / $340.87	Facility		$36.52	$142.03	$340.87
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $643.50 / $643.50 / $1,018.93	Professional	AA	$643.50	$643.50	$1,018.93
Highmark BCBS Facility/Professional Professional Modifier QK Low / Median / High Price $508.78 / $666.68 / $1,152.06	Professional	QK	$508.78	$666.68	$1,152.06
Highmark BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $558.49 / $967.99 / $1,218.08	Professional	QX	$558.49	$967.99	$1,218.08
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $567.26 / $663.53 / $843.91	Professional	QZ	$567.26	$663.53	$843.91