Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $407.38 / $407.38 / $676.08	Facility	QK	$407.38	$407.38	$676.08
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $478.63 / $933.25 / $954.99	Facility	QX	$478.63	$933.25	$954.99
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QY	$302.00	$302.00	$302.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	QZ	$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $977.24 / $3,090.30	Professional	AA	$616.60	$977.24	$3,090.30
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $389.05 / $977.24 / $2,630.27	Professional	QX	$389.05	$977.24	$2,630.27
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $478.63 / $1,445.44 / $2,570.40	Professional	QY	$478.63	$1,445.44	$2,570.40
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $407.38 / $407.38 / $676.08	Facility	QK	$407.38	$407.38	$676.08
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $478.63 / $933.25 / $954.99	Facility	QX	$478.63	$933.25	$954.99
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QY	$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	QZ	$2,818.38	$2,818.38	$2,818.38
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $912.01 / $3,090.30	Professional	AA	$549.54	$912.01	$3,090.30
Martin's Point Facility/Professional Professional Modifier QX Low / Median / High Price $354.81 / $467.74 / $1,288.25	Professional	QX	$354.81	$467.74	$1,288.25
Martin's Point Facility/Professional Professional Modifier QY Low / Median / High Price $380.19 / $870.96 / $2,238.72	Professional	QY	$380.19	$870.96	$2,238.72
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $660.69 / $1,318.26	Professional	QZ	$407.38	$660.69	$1,318.26