Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $512.86	Facility		$34.67	$34.67	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $954.99	Professional		$34.67	$50.12	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $147.91 / $954.99 / $1,230.27	Professional	AA	$147.91	$954.99	$1,230.27
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $524.81 / $616.60	Professional	QX	$295.12	$524.81	$616.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $70.79 / $489.78 / $616.60	Professional	QY	$70.79	$489.78	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $977.24 / $1,905.46	Professional	QZ	$138.04	$977.24	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
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 Low / Median / High Price $257.04 / $371.54 / $588.84	Professional		$257.04	$371.54	$588.84
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $512.86 / $794.33	Professional	AA	$426.58	$512.86	$794.33
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $489.78 / $1,258.93	Professional	AA	$407.38	$489.78	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.44 / $1,905.46	Facility		$19.95	$23.44	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $70.79 / $131.83	Professional		$16.98	$70.79	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $104.71	Professional		$39.81	$69.18	$104.71