Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $512.86	Facility		$34.67	$34.67	$512.86
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	QZ	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $1,000.00 / $1,819.70	Professional	AA	$169.82	$1,000.00	$1,819.70
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $144.54 / $416.87 / $741.31	Professional	QK	$144.54	$416.87	$741.31
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $100.00 / $407.38 / $776.25	Professional	QX	$100.00	$407.38	$776.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $239.88 / $389.05 / $707.95	Professional	QY	$239.88	$389.05	$707.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $1,023.29 / $1,659.59	Professional	QZ	$181.97	$1,023.29	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $54.95 / $67.61 / $75.86	Professional	QX	$54.95	$67.61	$75.86
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $512.86 / $794.33	Professional	AA	$426.58	$512.86	$794.33
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $489.78 / $1,258.93	Professional	AA	$407.38	$489.78	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.88 / $851.14	Facility		$16.60	$33.88	$851.14