Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $882.00 / $882.00 / $882.00	Professional	QZ	$882.00	$882.00	$882.00
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $403.90 / $403.90 / $403.90	Professional	QZ	$403.90	$403.90	$403.90