Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $4.18 / $4.38	Professional	QZ	$3.72	$4.18	$4.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $175.00 / $328.00	Professional		$111.32	$175.00	$328.00