Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	QX	$1,584.89	$1,584.89	$1,584.89
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	QX	$1,584.89	$1,584.89	$1,584.89