Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $274.27 / $323.39 / $342.85	Professional	AA	$274.27	$323.39	$342.85
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $296.00 / $296.00 / $296.00	Professional	AA	$296.00	$296.00	$296.00
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $133.00 / $148.00 / $164.00	Professional	QX	$133.00	$148.00	$164.00
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $230.80 / $230.80 / $230.80	Professional	QZ	$230.80	$230.80	$230.80