Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $123.83 / $123.83 / $123.83	Professional	QX	$123.83	$123.83	$123.83
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $404.25 / $428.56	Professional	AA	$342.85	$404.25	$428.56
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