Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $525.00 / $555.00	Facility		$30.00	$525.00	$555.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $210.03 / $540.20 / $621.60	Professional	AA	$210.03	$540.20	$621.60
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $71.76 / $247.90 / $310.80	Professional	QK	$71.76	$247.90	$310.80
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $78.95 / $78.95 / $94.95	Professional	QX	$78.95	$78.95	$94.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $196.10 / $233.10 / $292.30	Professional	QY	$196.10	$233.10	$292.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $352.05 / $380.00	Professional		$352.05	$352.05	$380.00