Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $702.75 / $790.59 / $873.00	Facility	AA	$702.75	$790.59	$873.00
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $298.08 / $672.30 / $747.00	Facility	QK	$298.08	$672.30	$747.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $252.58 / $920.79 / $920.79	Facility	QX	$252.58	$920.79	$920.79
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QY	$298.80	$298.80	$298.80
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,153.20 / $1,252.76 / $1,571.40	Facility	QZ	$1,153.20	$1,252.76	$1,571.40
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $932.58 / $932.58 / $932.58	Professional	AA	$932.58	$932.58	$932.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $500.96 / $500.96 / $837.20	Professional	QZ	$500.96	$500.96	$837.20
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $702.75 / $790.59 / $873.00	Facility	AA	$702.75	$790.59	$873.00
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $672.30 / $672.30 / $747.00	Facility	QK	$672.30	$672.30	$747.00
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $228.21 / $394.65 / $920.79	Facility	QX	$228.21	$394.65	$920.79
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QY	$298.80	$298.80	$298.80
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,153.20 / $1,252.76 / $1,571.40	Facility	QZ	$1,153.20	$1,252.76	$1,571.40