Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $204.17 / $1,905.46 / $3,019.95	Professional	AA	$204.17	$1,905.46	$3,019.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $776.25 / $3,019.95	Professional	QZ	$128.82	$776.25	$3,019.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $186.21 / $251.19	Professional	QZ	$173.78	$186.21	$251.19
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 $234.42 / $977.24 / $1,148.15	Professional	AA	$234.42	$977.24	$1,148.15