Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $113.13 / $113.13 / $113.13	Facility	QK	$113.13	$113.13	$113.13
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $263.81 / $263.81 / $313.27	Facility	QX	$263.81	$263.81	$313.27
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $95.26 / $95.26 / $95.26	Facility	QY	$95.26	$95.26	$95.26
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $113.13 / $113.13 / $113.13	Facility	QK	$113.13	$113.13	$113.13
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $263.81 / $263.81 / $313.27	Facility	QX	$263.81	$263.81	$313.27
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $95.26 / $95.26 / $95.26	Facility	QY	$95.26	$95.26	$95.26