Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $847.00 / $1,874.80 / $3,256.50	Professional	AA	$847.00	$1,874.80	$3,256.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,553.10 / $2,304.60 / $3,216.40	Professional	QZ	$1,553.10	$2,304.60	$3,216.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $261.17 / $261.17 / $1,544.62	Professional	AA	$261.17	$261.17	$1,544.62
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $204.80 / $204.80	Professional	QZ	$143.36	$204.80	$204.80
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $459.00 / $1,290.16 / $2,525.71	Professional	AA	$459.00	$1,290.16	$2,525.71
Highmark BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $1,120.02 / $1,120.02 / $1,120.02	Professional	QZ	$1,120.02	$1,120.02	$1,120.02