Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $585.44 / $912.00 / $2,017.39	Professional	AA	$585.44	$912.00	$2,017.39
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $807.73 / $1,273.04 / $1,273.04	Professional	AA	$807.73	$1,273.04	$1,273.04
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $271.22 / $271.22 / $920.00	Professional	QZ	$271.22	$271.22	$920.00
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