Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $224.10 / $224.10 / $224.10	Facility	QK	$224.10	$224.10	$224.10
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $90.96 / $90.96 / $157.86	Facility	QX	$90.96	$90.96	$157.86
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $224.10 / $224.10 / $224.10	Facility	QK	$224.10	$224.10	$224.10
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $90.96 / $157.86 / $197.33	Facility	QX	$90.96	$157.86	$197.33