Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $1,659.59 / $2,041.74	Professional	QZ	$245.47	$1,659.59	$2,041.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,318.26 / $1,318.26 / $1,412.54	Professional	QZ	$1,318.26	$1,318.26	$1,412.54
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 QZ Low / Median / High Price $758.58 / $912.01 / $1,230.27	Professional	QZ	$758.58	$912.01	$1,230.27