Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $275.00 / $1,067.22	Facility		$35.00	$275.00	$1,067.22
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $392.00 / $700.00 / $1,120.00	Professional	AA	$392.00	$700.00	$1,120.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $189.00 / $249.20 / $473.00	Professional	QK	$189.00	$249.20	$473.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $142.50 / $195.25 / $302.60	Professional	QX	$142.50	$195.25	$302.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.05 / $264.77 / $524.40	Professional	QY	$218.05	$264.77	$524.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $378.00 / $610.54 / $1,573.20	Professional	QZ	$378.00	$610.54	$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 $277.02 / $348.34 / $586.23	Professional	AA	$277.02	$348.34	$586.23
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $205.72 / $334.20 / $820.40	Professional	AA	$205.72	$334.20	$820.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $35.72 / $246.78	Facility		$17.57	$35.72	$246.78