Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $582.37 / $747.00	Facility		$42.42	$582.37	$747.00
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $177.50 / $614.90 / $1,096.51	Facility	AA	$177.50	$614.90	$1,096.51
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $276.26 / $448.20 / $597.60	Facility	QK	$276.26	$448.20	$597.60
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $147.77 / $651.23 / $716.17	Facility	QX	$147.77	$651.23	$716.17
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $261.45 / $261.45 / $261.45	Facility	QY	$261.45	$261.45	$261.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $77.03 / $790.50 / $1,474.40	Facility	QZ	$77.03	$790.50	$1,474.40
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $343.13 / $343.13 / $343.13	Professional	QY	$343.13	$343.13	$343.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $108.28 / $108.28 / $108.28	Professional	QZ	$108.28	$108.28	$108.28
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $2,047.50 / $2,047.50 / $2,047.50	Facility		$2,047.50	$2,047.50	$2,047.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $600.53 / $747.00	Facility		$50.90	$600.53	$747.00
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $177.50 / $614.90 / $1,096.51	Facility	AA	$177.50	$614.90	$1,096.51
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $276.26 / $448.20 / $597.60	Facility	QK	$276.26	$448.20	$597.60
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $9.15 / $276.26 / $716.17	Facility	QX	$9.15	$276.26	$716.17
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $261.45 / $261.45 / $261.45	Facility	QY	$261.45	$261.45	$261.45
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $77.03 / $790.50 / $1,474.40	Facility	QZ	$77.03	$790.50	$1,474.40
Martin's Point Facility/Professional Professional Modifier QY Low / Median / High Price $343.13 / $343.13 / $343.13	Professional	QY	$343.13	$343.13	$343.13