Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	AA	$691.83	$691.83	$691.83
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $251.19 / $354.81 / $660.69	Facility	QX	$251.19	$354.81	$660.69
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,621.81 / $1,621.81 / $1,778.28	Facility	QZ	$1,621.81	$1,621.81	$1,778.28
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $2,630.27 / $3,890.45	Professional	AA	$562.34	$2,630.27	$3,890.45
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	AA	$691.83	$691.83	$691.83
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $251.19 / $354.81 / $660.69	Facility	QX	$251.19	$354.81	$660.69
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,621.81 / $1,621.81 / $1,778.28	Facility	QZ	$1,621.81	$1,621.81	$1,778.28
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $2,818.38 / $3,890.45	Professional	AA	$549.54	$2,818.38	$3,890.45
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $616.60 / $794.33	Professional	QZ	$446.68	$616.60	$794.33