Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $331.13	Facility		$34.67	$302.00	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $467.74	Professional		$34.67	$47.86	$467.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	AA	$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	QY	$213.80	$213.80	$213.80
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 $295.12 / $380.19 / $426.58	Professional		$295.12	$380.19	$426.58
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $478.63 / $524.81	Professional	AA	$416.87	$478.63	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Facility		$2,754.23	$2,754.23	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,348.96	Professional		$50.12	$64.57	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $89.13	Professional		$44.67	$60.26	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $489.78	Professional		$302.00	$380.19	$489.78
Wellmark Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	AA	$446.68	$446.68	$446.68
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $199.53 / $245.47 / $245.47	Professional	QX	$199.53	$245.47	$245.47
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	QZ	$346.74	$346.74	$346.74