Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $489.78 / $851.14	Professional	AA	$436.52	$489.78	$851.14
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $380.19 / $537.03	Professional	QX	$269.15	$380.19	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $281.84 / $398.11	Professional	QY	$269.15	$281.84	$398.11
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $79.43 / $79.43 / $524.81	Professional	AA	$79.43	$79.43	$524.81
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $52.48 / $331.13 / $616.60	Professional	QX	$52.48	$331.13	$616.60
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	QY	$63.10	$63.10	$63.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $100.00 / $323.59	Professional	QZ	$81.28	$100.00	$323.59
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QK	$97.72	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QX	$97.72	$97.72	$131.83
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $97.72 / $97.72 / $131.83	Professional	QY	$97.72	$97.72	$131.83