Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $251.19 / $275.42	Facility		$34.67	$251.19	$275.42
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $398.11 / $436.52	Professional	AA	$354.81	$398.11	$436.52
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 $371.54 / $371.54 / $371.54	Professional	AA	$371.54	$371.54	$371.54
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $165.96 / $204.17 / $204.17	Professional	QX	$165.96	$204.17	$204.17
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	QZ	$288.40	$288.40	$288.40