Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $386.77 / $902.02	Facility		$42.42	$386.77	$902.02
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $9.78 / $448.20 / $810.46	Facility	AA	$9.78	$448.20	$810.46
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $448.20 / $448.20 / $522.90	Facility	QK	$448.20	$448.20	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $157.97 / $356.72 / $418.40	Facility	QX	$157.97	$356.72	$418.40
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $185.49 / $186.75 / $276.26	Facility	QY	$185.49	$186.75	$276.26
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $558.00 / $794.54 / $1,396.80	Facility	QZ	$558.00	$794.54	$1,396.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $48.00 / $198.94 / $235.41	Professional	AA	$48.00	$198.94	$235.41
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $343.13 / $343.13 / $343.13	Professional	QK	$343.13	$343.13	$343.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $598.00 / $598.00 / $598.00	Professional	QZ	$598.00	$598.00	$598.00
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $522.90 / $902.02	Facility		$42.42	$522.90	$902.02
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $9.78 / $448.20 / $810.46	Facility	AA	$9.78	$448.20	$810.46
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $448.20 / $448.20 / $522.90	Facility	QK	$448.20	$448.20	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $157.97 / $296.77 / $418.40	Facility	QX	$157.97	$296.77	$418.40
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $185.49 / $186.75 / $276.26	Facility	QY	$185.49	$186.75	$276.26
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $558.00 / $794.54 / $1,396.80	Facility	QZ	$558.00	$794.54	$1,396.80
Martin's Point Facility/Professional Professional Modifier QK Low / Median / High Price $343.13 / $343.13 / $343.13	Professional	QK	$343.13	$343.13	$343.13