Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $74.52 / $381.81 / $428.09	Professional	AA	$74.52	$381.81	$428.09
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $147.52 / $147.52 / $147.52	Professional	QK	$147.52	$147.52	$147.52
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $329.75 / $352.89 / $399.17	Professional	QZ	$329.75	$352.89	$399.17
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $4.18 / $4.38	Professional	QZ	$3.72	$4.18	$4.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $175.00 / $328.00	Professional		$111.32	$175.00	$328.00