Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $144.06 / $502.65 / $528.50	Professional	QZ	$144.06	$502.65	$528.50
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $485.10 / $514.28	Professional	AA	$411.42	$485.10	$514.28
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $444.00 / $444.00 / $444.00	Professional	AA	$444.00	$444.00	$444.00
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $346.20 / $346.20 / $346.20	Professional	QZ	$346.20	$346.20	$346.20