Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $851.14 / $1,230.27	Professional	QZ	$691.83	$851.14	$1,230.27
Wellmark Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	QZ	$288.40	$288.40	$288.40