Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $697.76 / $882.00 / $1,133.85	Professional	QZ	$697.76	$882.00	$1,133.85
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