Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $436.52 / $1,288.25	Facility		$34.67	$436.52	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $812.83 / $954.99	Professional	AA	$660.69	$812.83	$954.99
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $91.20 / $338.84 / $537.03	Professional	QK	$91.20	$338.84	$537.03
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $251.19 / $371.54 / $758.58	Professional	QX	$251.19	$371.54	$758.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $933.25 / $1,318.26	Professional	QZ	$660.69	$933.25	$1,318.26
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $630.96 / $707.95	Professional	AA	$562.34	$630.96	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $3,715.35	Facility		$85.11	$85.11	$3,715.35
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	AA	$588.84	$588.84	$588.84
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $263.03 / $331.13 / $331.13	Professional	QX	$263.03	$331.13	$331.13
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	QZ	$457.09	$457.09	$457.09