Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $426.58 / $616.60	Professional	AA	$154.88	$426.58	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $91.20 / $102.33 / $123.03	Professional	QZ	$91.20	$102.33	$123.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $144.54 / $831.76	Professional	QZ	$131.83	$144.54	$831.76
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QK	$123.03	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QX	$123.03	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QY	$123.03	$123.03	$165.96