Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $537.03 / $1,698.24	Professional	AA	$537.03	$537.03	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $389.05 / $389.05 / $524.81	Professional	QK	$389.05	$389.05	$524.81
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $389.05 / $389.05 / $524.81	Professional	QX	$389.05	$389.05	$524.81
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $389.05 / $389.05 / $524.81	Professional	QY	$389.05	$389.05	$524.81