Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $966.28	Facility	AA	$960.30	$960.30	$966.28
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $485.55 / $485.55 / $747.00	Facility	QK	$485.55	$485.55	$747.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $473.58 / $630.63 / $1,028.33	Facility	QX	$473.58	$630.63	$1,028.33
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,851.77 / $2,095.19 / $2,863.44	Facility	QZ	$1,851.77	$2,095.19	$2,863.44
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $966.28	Facility	AA	$960.30	$960.30	$966.28
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $485.55 / $485.55 / $747.00	Facility	QK	$485.55	$485.55	$747.00
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $382.20 / $473.58 / $734.77	Facility	QX	$382.20	$473.58	$734.77
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,851.77 / $2,095.19 / $2,863.44	Facility	QZ	$1,851.77	$2,095.19	$2,863.44