Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $440.00	Facility		$35.00	$35.00	$440.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $999.60 / $1,419.00 / $2,007.20	Professional	AA	$999.60	$1,419.00	$2,007.20
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $340.43 / $1,352.80 / $2,907.00	Professional	QK	$340.43	$1,352.80	$2,907.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $252.50 / $404.95 / $1,352.80	Professional	QX	$252.50	$404.95	$1,352.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $183.18 / $1,619.75 / $3,068.50	Professional	QZ	$183.18	$1,619.75	$3,068.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.00 / $1.00	Facility		$0.95	$1.00	$1.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $554.04 / $696.67 / $1,172.46	Professional	AA	$554.04	$696.67	$1,172.46
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $411.44 / $668.40 / $1,640.80	Professional	AA	$411.44	$668.40	$1,640.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $76.95 / $1,270.08	Facility		$59.15	$76.95	$1,270.08