Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $977.24	Facility	AA	$954.99	$954.99	$977.24
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $489.78 / $489.78 / $741.31	Facility	QK	$489.78	$489.78	$741.31
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $380.19 / $630.96 / $741.31	Facility	QX	$380.19	$630.96	$741.31
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,041.74 / $2,089.30 / $2,884.03	Facility	QZ	$2,041.74	$2,089.30	$2,884.03
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $977.24	Facility	AA	$954.99	$954.99	$977.24
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $489.78 / $489.78 / $741.31	Facility	QK	$489.78	$489.78	$741.31
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $380.19 / $478.63 / $741.31	Facility	QX	$380.19	$478.63	$741.31
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,548.82 / $2,089.30 / $2,884.03	Facility	QZ	$1,548.82	$2,089.30	$2,884.03