Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $91.20 / $91.20 / $588.84	Facility	QX	$91.20	$91.20	$588.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	QZ	$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $954.99 / $3,890.45	Professional	AA	$537.03	$954.99	$3,890.45
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $91.20 / $91.20 / $588.84	Facility	QX	$91.20	$91.20	$588.84
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	QZ	$2,187.76	$2,187.76	$2,187.76
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $2,137.96 / $3,890.45	Professional	AA	$426.58	$2,137.96	$3,890.45