Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	QX	$309.03	$309.03	$309.03
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	QX	$309.03	$309.03	$309.03