Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $203.10 / $920.79 / $920.79	Facility	QX	$203.10	$920.79	$920.79
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $203.10 / $203.10 / $920.79	Facility	QX	$203.10	$203.10	$920.79