Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $588.84 / $758.58	Professional	AA	$457.09	$588.84	$758.58
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $81.28 / $281.84 / $338.84	Professional	QK	$81.28	$281.84	$338.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $173.78 / $218.78 / $338.84	Professional	QX	$173.78	$218.78	$338.84
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $309.03 / $346.74	Professional	QY	$251.19	$309.03	$346.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $512.86 / $660.69 / $812.83	Professional	QZ	$512.86	$660.69	$812.83
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $478.63 / $524.81	Professional	AA	$416.87	$478.63	$524.81
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