Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $828.62 / $987.29	Facility		$42.42	$828.62	$987.29
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $1,054.11 / $1,860.21 / $2,459.61	Facility	AA	$1,054.11	$1,860.21	$2,459.61
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $560.25 / $774.39 / $774.39	Facility	QK	$560.25	$774.39	$774.39
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $361.07 / $777.45 / $1,055.27	Facility	QX	$361.07	$777.45	$1,055.27
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,322.82 / $3,133.10 / $9,347.07	Facility	QZ	$2,322.82	$3,133.10	$9,347.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $828.62 / $987.29	Facility		$42.42	$828.62	$987.29
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $1,054.11 / $1,860.21 / $2,459.61	Facility	AA	$1,054.11	$1,860.21	$2,459.61
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $560.25 / $560.25 / $774.39	Facility	QK	$560.25	$560.25	$774.39
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $315.93 / $597.00 / $1,055.27	Facility	QX	$315.93	$597.00	$1,055.27
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $2,322.82 / $3,133.10 / $9,347.07	Facility	QZ	$2,322.82	$3,133.10	$9,347.07