Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $454.00 / $561.15 / $1,171.43	Professional	AA	$454.00	$561.15	$1,171.43
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $142.76 / $329.75 / $364.46	Professional	QZ	$142.76	$329.75	$364.46
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $4.18 / $4.38	Professional	QZ	$3.72	$4.18	$4.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $210.00 / $393.60	Professional		$133.58	$210.00	$393.60
United Facility/Professional Professional Modifier AA Low / Median / High Price $365.00 / $365.00 / $640.00	Professional	AA	$365.00	$365.00	$640.00