Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $204.17 / $912.01	Facility	QX	$204.17	$204.17	$912.01
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $1,445.44 / $9,332.54	Professional	AA	$537.03	$1,445.44	$9,332.54
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $204.17 / $912.01	Facility	QX	$204.17	$204.17	$912.01
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $1,318.26 / $6,760.83	Professional	AA	$537.03	$1,318.26	$6,760.83
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	QZ	$616.60	$616.60	$616.60