Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $410.85 / $410.85 / $672.30	Facility	QK	$410.85	$410.85	$672.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $925.88 / $925.88 / $958.07	Facility	QX	$925.88	$925.88	$958.07
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QY	$298.80	$298.80	$298.80
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,801.05 / $2,801.05 / $2,801.05	Facility	QZ	$2,801.05	$2,801.05	$2,801.05
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $500.66 / $500.66 / $500.66	Professional	AA	$500.66	$500.66	$500.66
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $410.85 / $410.85 / $672.30	Facility	QK	$410.85	$410.85	$672.30
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $473.58 / $925.88 / $958.07	Facility	QX	$473.58	$925.88	$958.07
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QY	$298.80	$298.80	$298.80
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $2,801.05 / $2,801.05 / $2,801.05	Facility	QZ	$2,801.05	$2,801.05	$2,801.05