Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $389.05	Facility		$34.67	$44.67	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $512.86	Professional		$34.67	$50.12	$512.86
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	AA	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $263.03 / $331.13 / $389.05	Professional	QX	$263.03	$331.13	$389.05
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	QZ	$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $380.19	Professional		$302.00	$363.08	$380.19
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $489.78 / $537.03	Professional	AA	$389.05	$489.78	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $3,235.94	Facility		$1,659.59	$2,691.53	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $89.13	Professional		$45.71	$69.18	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $83.18	Professional		$39.81	$64.57	$83.18