Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,709.40 / $1,709.40 / $1,709.40	Professional	AA	$1,709.40	$1,709.40	$1,709.40
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $393.24 / $393.24 / $526.40	Professional	QK	$393.24	$393.24	$526.40
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $393.24 / $393.24 / $526.40	Professional	QX	$393.24	$393.24	$526.40
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $393.24 / $393.24 / $526.40	Professional	QY	$393.24	$393.24	$526.40