Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $698.40 / $698.40 / $698.40	Facility	AA	$698.40	$698.40	$698.40
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $252.58 / $252.58 / $662.48	Facility	QX	$252.58	$252.58	$662.48
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,610.69 / $1,610.69 / $1,789.65	Facility	QZ	$1,610.69	$1,610.69	$1,789.65
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $698.40 / $698.40 / $698.40	Facility	AA	$698.40	$698.40	$698.40
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $252.58 / $252.58 / $662.48	Facility	QX	$252.58	$252.58	$662.48
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,610.69 / $1,610.69 / $1,789.65	Facility	QZ	$1,610.69	$1,610.69	$1,789.65
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $903.50 / $903.50	Professional	AA	$88.00	$903.50	$903.50