Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	AA	$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $812.83 / $1,584.89	Professional	AA	$537.03	$812.83	$1,584.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $537.03 / $602.56	Professional	QZ	$208.93	$537.03	$602.56
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 $436.52 / $524.81 / $758.58	Professional	AA	$436.52	$524.81	$758.58
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $478.63 / $676.08	Professional	QZ	$371.54	$478.63	$676.08