Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $434.12 / $434.12 / $434.12	Facility	QK	$434.12	$434.12	$434.12
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $298.50 / $356.72 / $434.12	Facility	QX	$298.50	$356.72	$434.12
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,302.00 / $1,302.00 / $1,302.00	Facility	QZ	$1,302.00	$1,302.00	$1,302.00
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $434.12 / $434.12 / $434.12	Facility	QK	$434.12	$434.12	$434.12
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $298.50 / $356.72 / $434.12	Facility	QX	$298.50	$356.72	$434.12
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,302.00 / $1,302.00 / $1,302.00	Facility	QZ	$1,302.00	$1,302.00	$1,302.00