Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.94 / $368.94 / $492.00	Facility		$368.94	$368.94	$492.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $136.61 / $902.00 / $1,820.00	Professional	AA	$136.61	$902.00	$1,820.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $255.60 / $394.89 / $584.50	Professional	QK	$255.60	$394.89	$584.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $79.98 / $374.85 / $584.50	Professional	QX	$79.98	$374.85	$584.50
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $254.13 / $362.60 / $556.44	Professional	QY	$254.13	$362.60	$556.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $364.46 / $672.71 / $943.00	Professional	QZ	$364.46	$672.71	$943.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $390.00 / $498.00	Professional		$270.00	$390.00	$498.00
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