Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $302.00 / $446.68	Facility		$30.20	$302.00	$446.68
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 $208.93 / $354.81 / $426.58	Professional		$208.93	$354.81	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,454.71 / $4,786.30	Facility		$43.65	$2,454.71	$4,786.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $64.57 / $100.00	Facility		$21.38	$64.57	$100.00