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 / $410.85	Facility	QK	$410.85	$410.85	$410.85
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $434.12 / $873.24 / $873.24	Facility	QX	$434.12	$873.24	$873.24
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $373.50 / $373.50 / $373.50	Facility	QY	$373.50	$373.50	$373.50
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $410.85 / $410.85 / $410.85	Facility	QK	$410.85	$410.85	$410.85
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $254.80 / $434.12 / $873.24	Facility	QX	$254.80	$434.12	$873.24
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $373.50 / $373.50 / $373.50	Facility	QY	$373.50	$373.50	$373.50