Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	QX	$275.42	$275.42	$275.42
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	QX	$275.42	$275.42	$275.42