Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.61 / $1,680.00 / $1,896.99	Professional	AA	$199.61	$1,680.00	$1,896.99
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $529.54 / $529.54 / $529.54	Professional	QX	$529.54	$529.54	$529.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $902.50 / $921.50 / $1,282.50	Professional	QZ	$902.50	$921.50	$1,282.50
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