Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	QK	$223.87	$223.87	$223.87
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $91.20 / $199.53 / $199.53	Facility	QX	$91.20	$199.53	$199.53
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $107.15 / $467.74 / $794.33	Professional	AA	$107.15	$467.74	$794.33
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	QK	$223.87	$223.87	$223.87
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $91.20 / $91.20 / $199.53	Facility	QX	$91.20	$91.20	$199.53
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $100.00 / $457.09 / $794.33	Professional	AA	$100.00	$457.09	$794.33
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	QZ	$446.68	$446.68	$446.68