Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $2,691.53	Facility		$34.67	$275.42	$2,691.53
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	QZ	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $331.13 / $562.34 / $691.83	Professional	AA	$331.13	$562.34	$691.83
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $61.66 / $190.55 / $302.00	Professional	QK	$61.66	$190.55	$302.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $141.25 / $181.97 / $302.00	Professional	QX	$141.25	$181.97	$302.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $165.96 / $190.55 / $263.03	Professional	QY	$165.96	$190.55	$263.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $295.12 / $575.44 / $707.95	Professional	QZ	$295.12	$575.44	$707.95
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $398.11 / $436.52	Professional	AA	$354.81	$398.11	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $1,096.48 / $1,584.89	Facility		$36.31	$1,096.48	$1,584.89
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