Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $384.00 / $598.72 / $1,260.00	Professional	AA	$384.00	$598.72	$1,260.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $63.61 / $63.61 / $302.60	Professional	QK	$63.61	$63.61	$302.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $167.50 / $189.75 / $264.77	Professional	QX	$167.50	$189.75	$264.77
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $311.50 / $649.64 / $649.64	Professional	QY	$311.50	$649.64	$649.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $523.48 / $658.62 / $988.00	Professional	QZ	$523.48	$658.62	$988.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $194.34 / $246.00 / $246.00	Professional	QX	$194.34	$246.00	$246.00