Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $660.69 / $954.99	Professional	AA	$354.81	$660.69	$954.99
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $537.03 / $676.08	Professional	QZ	$309.03	$537.03	$676.08
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $181.97 / $776.25	Professional	AA	$144.54	$181.97	$776.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $208.93 / $831.76	Professional	QZ	$144.54	$208.93	$831.76
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QK	$123.03	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QX	$123.03	$123.03	$165.96
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $123.03 / $123.03 / $165.96	Professional	QY	$123.03	$123.03	$165.96