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 $280.00 / $700.00 / $1,120.00	Professional	AA	$280.00	$700.00	$1,120.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $248.33 / $338.84 / $500.25	Professional	QK	$248.33	$338.84	$500.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $232.95 / $345.10 / $476.00	Professional	QX	$232.95	$345.10	$476.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $266.83 / $385.00 / $516.74	Professional	QY	$266.83	$385.00	$516.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $475.00 / $655.50 / $841.50	Professional	QZ	$475.00	$655.50	$841.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $325.00 / $415.00	Professional		$225.00	$325.00	$415.00