Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $741.31 / $1,202.26	Professional	AA	$501.19	$741.31	$1,202.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $489.78 / $549.54 / $676.08	Professional	QZ	$489.78	$549.54	$676.08
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 $501.19 / $501.19 / $691.83	Professional	AA	$501.19	$501.19	$691.83
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $512.86 / $1,047.13	Professional	QZ	$416.87	$512.86	$1,047.13