Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $726.79 / $726.79 / $931.70	Professional	AA	$726.79	$726.79	$931.70
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $203.14 / $239.62 / $273.82	Professional	AA	$203.14	$239.62	$273.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.44 / $160.72 / $216.97	Professional	QZ	$143.44	$160.72	$216.97
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QK	$147.47	$147.47	$197.40
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QX	$147.47	$147.47	$197.40
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QY	$147.47	$147.47	$197.40