Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $976.85 / $976.85 / $976.85	Facility	QX	$976.85	$976.85	$976.85
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $976.85 / $976.85 / $976.85	Facility	QX	$976.85	$976.85	$976.85