Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $426.58	Facility		$34.67	$34.67	$426.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $891.25 / $1,148.15	Professional	AA	$741.31	$891.25	$1,148.15
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $407.38 / $478.63 / $691.83	Professional	QX	$407.38	$478.63	$691.83
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $398.11 / $467.74 / $562.34	Professional	QY	$398.11	$467.74	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $831.76 / $1,023.29	Professional	QZ	$138.04	$831.76	$1,023.29
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $54.95 / $67.61 / $75.86	Professional	QX	$54.95	$67.61	$75.86
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $426.58 / $660.69	Professional	AA	$354.81	$426.58	$660.69
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $407.38 / $1,047.13	Professional	AA	$338.84	$407.38	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88