Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $533.00 / $589.84 / $731.80	Professional	AA	$533.00	$589.84	$731.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $345.35 / $1,379.12 / $1,514.50	Professional	AA	$345.35	$1,379.12	$1,514.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $172.00 / $220.99 / $864.71	Professional	QZ	$172.00	$220.99	$864.71
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $122.89 / $122.89 / $164.50	Professional	QK	$122.89	$122.89	$164.50
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $122.89 / $122.89 / $164.50	Professional	QX	$122.89	$122.89	$164.50
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $122.89 / $122.89 / $164.50	Professional	QY	$122.89	$122.89	$164.50
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $88.00	Professional	AA	$88.00	$88.00	$88.00