Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $954.99 / $1,905.46	Professional	AA	$123.03	$954.99	$1,905.46
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $302.00 / $467.74 / $724.44	Professional	QX	$302.00	$467.74	$724.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $407.38 / $524.81 / $1,000.00	Professional	QY	$407.38	$524.81	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $104.71 / $831.76 / $1,318.26	Professional	QZ	$104.71	$831.76	$1,318.26
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