Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $1,202.26 / $1,737.80	Professional	AA	$213.80	$1,202.26	$1,737.80
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $478.63 / $524.81	Professional	AA	$416.87	$478.63	$524.81
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