Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $933.25 / $1,348.96	Professional	AA	$234.42	$933.25	$1,348.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $389.05 / $537.03	Professional	QX	$269.15	$389.05	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $269.15 / $389.05	Professional	QY	$269.15	$269.15	$389.05
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $549.54 / $602.56	Professional	QZ	$100.00	$549.54	$602.56
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $281.84 / $354.81	Professional	AA	$281.84	$281.84	$354.81
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $131.83 / $162.18 / $162.18	Professional	QX	$131.83	$162.18	$162.18