Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $74.13 / $398.11 / $549.54	Professional	AA	$74.13	$398.11	$549.54
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $398.11 / $512.86 / $933.25	Professional	QK	$398.11	$512.86	$933.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $416.87 / $512.86 / $660.69	Professional	QX	$416.87	$512.86	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $398.11 / $398.11 / $478.63	Professional	QY	$398.11	$398.11	$478.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $354.81 / $1,071.52	Professional	QZ	$158.49	$354.81	$1,071.52
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $3.98 / $4.37	Professional	QZ	$3.72	$3.98	$4.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $398.11	Professional		$123.03	$173.78	$398.11