Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $524.81 / $549.54	Facility		$30.20	$524.81	$549.54
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $602.56 / $1,047.13	Professional	AA	$134.90	$602.56	$1,047.13
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $309.03 / $524.81	Professional	QX	$234.42	$309.03	$524.81
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $295.12 / $446.68	Professional	QY	$234.42	$295.12	$446.68
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $524.81 / $676.08	Professional	QZ	$446.68	$524.81	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $380.19	Professional		$208.93	$354.81	$380.19