Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $275.00	Facility		$35.00	$35.00	$275.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $127.56 / $649.00 / $980.00	Professional	AA	$127.56	$649.00	$980.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $172.50 / $189.75 / $704.00	Professional	QX	$172.50	$189.75	$704.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.50 / $324.50 / $638.00	Professional	QY	$269.50	$324.50	$638.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $118.83 / $529.20 / $610.54	Professional	QZ	$118.83	$529.20	$610.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.00 / $1.00	Facility		$0.95	$1.00	$1.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $346.28 / $435.42 / $732.79	Professional	AA	$346.28	$435.42	$732.79
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $257.14 / $417.75 / $1,025.50	Professional	AA	$257.14	$417.75	$1,025.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $58.22 / $1,925.00	Facility		$19.04	$58.22	$1,925.00