Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $872.20 / $872.20 / $872.20	Professional	QZ	$872.20	$872.20	$872.20
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $288.50 / $288.50 / $288.50	Professional	QZ	$288.50	$288.50	$288.50