Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $1,348.96 / $2,041.74	Professional	AA	$691.83	$1,348.96	$2,041.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $1,380.38 / $1,862.09	Professional	QZ	$398.11	$1,380.38	$1,862.09
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	AA	$707.95	$707.95	$707.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $870.96 / $1,096.48	Professional	QZ	$281.84	$870.96	$1,096.48
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 $426.58 / $812.83 / $1,047.13	Professional	AA	$426.58	$812.83	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $575.44 / $758.58	Professional	QZ	$208.93	$575.44	$758.58