Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $223.70 / $777.70 / $972.92	Professional	AA	$223.70	$777.70	$972.92
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $823.24 / $823.24 / $823.24	Professional	QZ	$823.24	$823.24	$823.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $432.54 / $432.54 / $840.00	Professional	AA	$432.54	$432.54	$840.00
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QK	$147.47	$147.47	$197.40
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QX	$147.47	$147.47	$197.40
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $147.47 / $147.47 / $197.40	Professional	QY	$147.47	$147.47	$197.40
United Facility/Professional Professional Modifier QZ Low / Median / High Price $540.00 / $540.00 / $540.00	Professional	QZ	$540.00	$540.00	$540.00