Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $1,174.90 / $2,089.30	Professional	AA	$501.19	$1,174.90	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $1,202.26 / $1,949.84	Professional	QZ	$309.03	$1,202.26	$1,949.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	AA	$870.96	$870.96	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $870.96 / $977.24	Professional	QZ	$389.05	$870.96	$977.24
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 $295.12 / $660.69 / $1,096.48	Professional	AA	$295.12	$660.69	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $537.03 / $1,000.00	Professional	QZ	$281.84	$537.03	$1,000.00