Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $827.59 / $827.59 / $1,284.66	Facility	AA	$827.59	$827.59	$1,284.66
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $357.64 / $519.16 / $750.46	Facility	QK	$357.64	$519.16	$750.46
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $856.44 / $974.16 / $4,096.01	Facility	QX	$856.44	$974.16	$4,096.01
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $691.83 / $799.01 / $999.18	Facility	QY	$691.83	$799.01	$999.18
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $827.59 / $1,284.66 / $1,284.66	Facility	AA	$827.59	$1,284.66	$1,284.66
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $357.64 / $519.16 / $750.46	Facility	QK	$357.64	$519.16	$750.46
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $856.44 / $974.16 / $4,096.01	Facility	QX	$856.44	$974.16	$4,096.01
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $691.83 / $799.01 / $999.18	Facility	QY	$691.83	$799.01	$999.18