Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $323.59 / $354.81 / $380.19	Professional	AA	$323.59	$354.81	$380.19
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $162.18 / $181.97 / $208.93	Professional	QY	$162.18	$181.97	$208.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $549.54 / $549.54 / $602.56	Professional	QZ	$549.54	$549.54	$602.56
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $316.23 / $354.81	Professional	AA	$281.84	$316.23	$354.81
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	AA	$295.12	$295.12	$295.12
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $131.83 / $162.18 / $162.18	Professional	QX	$131.83	$162.18	$162.18
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	QZ	$229.09	$229.09	$229.09