Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $398.11	Professional		$123.03	$173.78	$398.11