Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $275.00	Facility		$35.00	$35.00	$275.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,454.69 / $1,454.69 / $1,454.69	Facility	QZ	$1,454.69	$1,454.69	$1,454.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $107.14 / $963.20 / $1,400.00	Professional	AA	$107.14	$963.20	$1,400.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $152.63 / $252.00 / $368.50	Professional	QK	$152.63	$252.00	$368.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $64.93 / $186.90 / $401.50	Professional	QX	$64.93	$186.90	$401.50
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $173.25 / $189.00 / $524.40	Professional	QY	$173.25	$189.00	$524.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $285.00 / $705.60 / $1,573.20	Professional	QZ	$285.00	$705.60	$1,573.20
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 $346.28 / $435.42 / $732.79	Professional	AA	$346.28	$435.42	$732.79
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $257.14 / $417.75 / $1,025.50	Professional	AA	$257.14	$417.75	$1,025.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $38.22 / $212.19	Facility		$16.69	$38.22	$212.19