Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $585.44 / $1,165.90 / $1,165.90	Professional	AA	$585.44	$1,165.90	$1,165.90
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $122.88 / $122.88	Professional	QZ	$122.88	$122.88	$122.88
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