Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $330.00	Facility		$35.00	$35.00	$330.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $470.40 / $652.79 / $1,540.00	Professional	AA	$470.40	$652.79	$1,540.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $218.05 / $302.60 / $786.60	Professional	QK	$218.05	$302.60	$786.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $152.50 / $226.95 / $770.00	Professional	QX	$152.50	$226.95	$770.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.05 / $324.50 / $434.50	Professional	QY	$218.05	$324.50	$434.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $295.00 / $784.98 / $1,748.00	Professional	QZ	$295.00	$784.98	$1,748.00
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 $415.53 / $522.50 / $879.35	Professional	AA	$415.53	$522.50	$879.35
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $308.58 / $501.30 / $1,230.59	Professional	AA	$308.58	$501.30	$1,230.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $41.37 / $856.84	Facility		$16.69	$41.37	$856.84
United Facility/Professional Professional Modifier AA Low / Median / High Price $1,445.60 / $1,445.60 / $1,445.60	Professional	AA	$1,445.60	$1,445.60	$1,445.60
United Facility/Professional Professional Modifier QX Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	QX	$85.00	$85.00	$85.00
United Facility/Professional Professional Modifier QY Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	QY	$90.00	$90.00	$90.00