Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $676.08 / $977.24	Professional	AA	$158.49	$676.08	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $436.52 / $478.63	Professional	QZ	$436.52	$436.52	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $147.91 / $323.59	Professional	QZ	$123.03	$147.91	$323.59
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