Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,273.42 / $2,273.42 / $2,520.00	Professional	AA	$2,273.42	$2,273.42	$2,520.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $457.05 / $591.00 / $1,971.33	Professional	AA	$457.05	$591.00	$1,971.33
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $759.40 / $759.40 / $3,770.00	Professional	QZ	$759.40	$759.40	$3,770.00
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QK	$221.20	$221.20	$296.10
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QX	$221.20	$221.20	$296.10
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $221.20 / $221.20 / $296.10	Professional	QY	$221.20	$221.20	$296.10