Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $489.78	Facility		$371.54	$371.54	$489.78
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $831.76 / $1,380.38	Professional	AA	$416.87	$831.76	$1,380.38
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $162.18 / $363.08 / $630.96	Professional	QK	$162.18	$363.08	$630.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $229.09 / $363.08 / $630.96	Professional	QX	$229.09	$363.08	$630.96
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $338.84 / $616.60	Professional	QY	$257.04	$338.84	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $602.56 / $851.14	Professional	QZ	$436.52	$602.56	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Professional		$269.15	$371.54	$478.63