Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $204.17 / $1,258.93 / $1,905.46	Professional	AA	$204.17	$1,258.93	$1,905.46
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $302.00 / $478.63 / $794.33	Professional	QK	$302.00	$478.63	$794.33
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $218.78 / $457.09 / $794.33	Professional	QX	$218.78	$457.09	$794.33
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $309.03 / $501.19 / $812.83	Professional	QY	$309.03	$501.19	$812.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $549.54 / $1,288.25 / $1,698.24	Professional	QZ	$549.54	$1,288.25	$1,698.24
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $54.95 / $67.61 / $75.86	Professional	QX	$54.95	$67.61	$75.86
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $512.86 / $794.33	Professional	AA	$426.58	$512.86	$794.33
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $489.78 / $1,258.93	Professional	AA	$407.38	$489.78	$1,258.93