Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $524.81 / $524.81	Professional	AA	$446.68	$524.81	$524.81
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $691.83 / $912.01	Professional	QX	$524.81	$691.83	$912.01
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	QZ	$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Professional		$223.87	$309.03	$398.11