Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $1,047.59	Facility	AA	$960.30	$960.30	$1,047.59
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $236.79 / $236.79 / $522.90	Facility	QK	$236.79	$236.79	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $236.79 / $776.16 / $920.79	Facility	QX	$236.79	$776.16	$920.79
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,073.79 / $1,073.79 / $1,222.20	Facility	QZ	$1,073.79	$1,073.79	$1,222.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $357.50 / $357.50 / $357.50	Professional	QZ	$357.50	$357.50	$357.50
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $1,047.59	Facility	AA	$960.30	$960.30	$1,047.59
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $236.79 / $236.79 / $522.90	Facility	QK	$236.79	$236.79	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $160.72 / $236.79 / $920.79	Facility	QX	$160.72	$236.79	$920.79
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,073.79 / $1,073.79 / $1,222.20	Facility	QZ	$1,073.79	$1,073.79	$1,222.20