Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $549.54 / $1,174.90	Professional	AA	$316.23	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $562.34 / $616.60	Professional	AA	$489.78	$562.34	$616.60
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	AA	$512.86	$512.86	$512.86
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	QZ	$407.38	$407.38	$407.38