Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $185.49 / $185.49 / $224.10	Facility	QK	$185.49	$185.49	$224.10
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.02 / $125.81 / $178.36	Facility	QX	$97.02	$125.81	$178.36
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $236.79 / $236.79 / $236.79	Facility	QY	$236.79	$236.79	$236.79
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $185.49 / $185.49 / $224.10	Facility	QK	$185.49	$185.49	$224.10
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $97.02 / $137.77 / $276.26	Facility	QX	$97.02	$137.77	$276.26
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $236.79 / $236.79 / $236.79	Facility	QY	$236.79	$236.79	$236.79