Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,421.58 / $2,421.58 / $2,421.58	Facility	QX	$2,421.58	$2,421.58	$2,421.58
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $874.46 / $874.46 / $874.46	Facility	QY	$874.46	$874.46	$874.46
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $2,421.58 / $2,421.58 / $2,421.58	Facility	QX	$2,421.58	$2,421.58	$2,421.58
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $874.46 / $874.46 / $874.46	Facility	QY	$874.46	$874.46	$874.46