Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $602.56 / $1,202.26	Professional	AA	$354.81	$602.56	$1,202.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $288.40 / $851.14	Professional	AA	$263.03	$288.40	$851.14
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QK	$97.72	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QX	$97.72	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QY	$97.72	$97.72	$131.83