Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $812.54 / $812.54 / $812.54	Facility	QX	$812.54	$812.54	$812.54
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $812.54 / $812.54 / $812.54	Facility	QX	$812.54	$812.54	$812.54