Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QK	$298.80	$298.80	$298.80
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $254.80 / $254.80 / $407.68	Facility	QX	$254.80	$254.80	$407.68
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $589.88 / $1,326.00 / $1,843.00	Facility	QZ	$589.88	$1,326.00	$1,843.00
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QK	$298.80	$298.80	$298.80
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $254.80 / $254.80 / $407.68	Facility	QX	$254.80	$254.80	$407.68
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $589.88 / $1,326.00 / $1,843.00	Facility	QZ	$589.88	$1,326.00	$1,843.00