Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.02 / $97.02 / $97.02	Facility	QX	$97.02	$97.02	$97.02
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $97.02 / $97.02 / $97.02	Facility	QX	$97.02	$97.02	$97.02