Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $549.54 / $977.24	Professional	AA	$457.09	$549.54	$977.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $416.87 / $537.03 / $794.33	Professional	QK	$416.87	$537.03	$794.33
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $398.11 / $537.03 / $724.44	Professional	QX	$398.11	$537.03	$724.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	QY	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $354.81 / $794.33	Professional	QZ	$141.25	$354.81	$794.33
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63