Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,698.24 / $2,951.21	Professional	AA	$741.31	$1,698.24	$2,951.21
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $338.84 / $660.69 / $977.24	Professional	QX	$338.84	$660.69	$977.24
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $602.56 / $891.25	Professional	QY	$316.23	$602.56	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $933.25 / $1,288.25	Professional	QZ	$537.03	$933.25	$1,288.25
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $199.53 / $245.47 / $245.47	Professional	QX	$199.53	$245.47	$245.47