Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $630.00 / $666.00	Facility		$30.00	$630.00	$666.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $151.15 / $540.20 / $760.00	Professional	AA	$151.15	$540.20	$760.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $72.87 / $251.60 / $395.90	Professional	QK	$72.87	$251.60	$395.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $13.47 / $13.47 / $80.59	Professional	QX	$13.47	$13.47	$80.59
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $15.01 / $218.30 / $270.10	Professional	QY	$15.01	$218.30	$270.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.46 / $422.46 / $456.00	Professional		$422.46	$422.46	$456.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $75.00 / $75.00 / $1,445.60	Professional	AA	$75.00	$75.00	$1,445.60