Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $275.00 / $275.00	Facility		$35.00	$275.00	$275.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $404.25 / $428.56	Professional	AA	$342.85	$404.25	$428.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $84.50 / $3,700.00	Facility		$84.50	$84.50	$3,700.00
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $370.00 / $370.00 / $370.00	Professional	AA	$370.00	$370.00	$370.00
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $166.25 / $185.00 / $205.00	Professional	QX	$166.25	$185.00	$205.00
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $288.50 / $288.50 / $288.50	Professional	QZ	$288.50	$288.50	$288.50