Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $630.96 / $660.69	Facility		$30.20	$630.96	$660.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $851.14 / $1,513.56	Professional	AA	$436.52	$851.14	$1,513.56
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $144.54 / $371.54 / $676.08	Professional	QK	$144.54	$371.54	$676.08
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $239.88 / $389.05 / $676.08	Professional	QX	$239.88	$389.05	$676.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $338.84 / $660.69	Professional	QY	$257.04	$338.84	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $575.44 / $707.95	Professional	QZ	$478.63	$575.44	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $457.09	Professional		$251.19	$426.58	$457.09