Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AA	$870.96	$870.96	$870.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	QK	$602.56	$602.56	$602.56
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $204.17 / $851.14	Facility	QX	$204.17	$204.17	$851.14
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,122.02 / $1,445.44 / $1,905.46	Facility	QZ	$1,122.02	$1,445.44	$1,905.46
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $933.25 / $3,388.44	Professional	AA	$524.81	$933.25	$3,388.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	QZ	$309.03	$309.03	$309.03
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AA	$870.96	$870.96	$870.96
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	QK	$602.56	$602.56	$602.56
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $204.17 / $851.14	Facility	QX	$204.17	$204.17	$851.14
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,122.02 / $1,445.44 / $1,905.46	Facility	QZ	$1,122.02	$1,445.44	$1,905.46
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $912.01 / $3,388.44	Professional	AA	$575.44	$912.01	$3,388.44
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $616.60 / $812.83	Professional	QZ	$204.17	$616.60	$812.83