Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $331.13	Facility		$34.67	$302.00	$331.13
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 $363.08 / $501.19 / $616.60	Professional	AA	$363.08	$501.19	$616.60
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $58.88 / $229.09 / $302.00	Professional	QK	$58.88	$229.09	$302.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $151.36 / $190.55 / $316.23	Professional	QX	$151.36	$190.55	$316.23
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $218.78 / $281.84	Professional	QY	$67.61	$218.78	$281.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $575.44 / $758.58	Professional	QZ	$346.74	$575.44	$758.58
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $478.63 / $524.81	Professional	AA	$416.87	$478.63	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,288.25 / $3,715.35	Facility		$85.11	$1,288.25	$3,715.35
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	AA	$446.68	$446.68	$446.68
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $199.53 / $245.47 / $245.47	Professional	QX	$199.53	$245.47	$245.47
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	QZ	$346.74	$346.74	$346.74