Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.45 / $307.45 / $410.00	Facility		$307.45	$307.45	$410.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $329.75 / $781.00 / $1,400.00	Professional	AA	$329.75	$781.00	$1,400.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $228.39 / $336.35 / $478.50	Professional	QK	$228.39	$336.35	$478.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $147.50 / $329.75 / $470.05	Professional	QX	$147.50	$329.75	$470.05
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $241.42 / $334.60 / $523.25	Professional	QY	$241.42	$334.60	$523.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $431.86 / $605.00 / $871.19	Professional	QZ	$431.86	$605.00	$871.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $325.00 / $415.00	Professional		$225.00	$325.00	$415.00