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 $354.81 / $794.33 / $1,202.26	Professional	AA	$354.81	$794.33	$1,202.26
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $208.93 / $309.03 / $549.54	Professional	QK	$208.93	$309.03	$549.54
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $218.78 / $323.59 / $537.03	Professional	QX	$218.78	$323.59	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $229.09 / $295.12 / $549.54	Professional	QY	$229.09	$295.12	$549.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $562.34 / $794.33	Professional	QZ	$398.11	$562.34	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $398.11	Professional		$223.87	$309.03	$398.11