Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	QZ	$831.76	$831.76	$831.76
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