Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $442.38 / $721.50 / $962.54	Professional	AA	$442.38	$721.50	$962.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $737.30 / $737.30 / $1,197.44	Professional	QZ	$737.30	$737.30	$1,197.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.72 / $360.45 / $1,213.63	Professional	AA	$160.72	$360.45	$1,213.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $189.85 / $273.82 / $1,035.00	Professional	QZ	$189.85	$273.82	$1,035.00
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $98.31 / $98.31 / $131.60	Professional	QK	$98.31	$98.31	$131.60
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $98.31 / $98.31 / $131.60	Professional	QX	$98.31	$98.31	$131.60
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $98.31 / $98.31 / $131.60	Professional	QY	$98.31	$98.31	$131.60