Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $1,071.52	Facility		$34.67	$275.42	$1,071.52
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	QZ	$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $933.25 / $1,445.44	Professional	AA	$467.74	$933.25	$1,445.44
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $251.19 / $380.19 / $660.69	Professional	QK	$251.19	$380.19	$660.69
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $190.55 / $363.08 / $660.69	Professional	QX	$190.55	$363.08	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $263.03 / $380.19 / $616.60	Professional	QY	$263.03	$380.19	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $724.44 / $1,288.25	Professional	QZ	$398.11	$724.44	$1,288.25
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 / $70.79	Professional	QX	$54.95	$67.61	$70.79
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $346.74 / $524.81	Professional	AA	$281.84	$346.74	$524.81
Health Partners Facility/Professional Professional Modifier AA Low / Median / High Price $269.15 / $323.59 / $851.14	Professional	AA	$269.15	$323.59	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.11 / $245.47	Facility		$17.38	$33.11	$245.47