Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $463.68 / $894.78	Facility		$30.00	$463.68	$894.78
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $497.51 / $675.79 / $1,254.06	Professional	AA	$497.51	$675.79	$1,254.06
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $105.11 / $494.15 / $571.79	Professional	QK	$105.11	$494.15	$571.79
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $419.31 / $492.59 / $597.67	Professional	QX	$419.31	$492.59	$597.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $568.00 / $720.00	Professional		$336.00	$568.00	$720.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $2,460.00 / $3,184.32	Facility		$48.03	$2,460.00	$3,184.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $64.00 / $92.88	Facility		$23.16	$64.00	$92.88