Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $500.66 / $500.66 / $500.66	Professional	AA	$500.66	$500.66	$500.66
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $109.57 / $340.43 / $472.50	Professional	QX	$109.57	$340.43	$472.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $617.40 / $970.20 / $1,234.80	Professional	QZ	$617.40	$970.20	$1,234.80
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 QX Low / Median / High Price $199.50 / $222.00 / $246.00	Professional	QX	$199.50	$222.00	$246.00
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $346.20 / $346.20 / $346.20	Professional	QZ	$346.20	$346.20	$346.20