Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,548.82 / $2,290.87 / $2,511.89	Professional	AA	$1,548.82	$2,290.87	$2,511.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $398.11 / $478.63	Professional	QZ	$398.11	$398.11	$478.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $851.14 / $1,380.38 / $1,995.26	Professional	AA	$851.14	$1,380.38	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier QK Low / Median / High Price $218.78 / $218.78 / $295.12	Professional	QK	$218.78	$218.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier QX Low / Median / High Price $218.78 / $218.78 / $295.12	Professional	QX	$218.78	$218.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier QY Low / Median / High Price $218.78 / $218.78 / $295.12	Professional	QY	$218.78	$218.78	$295.12