Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $208.93 / $346.74 / $724.44	Facility	QX	$208.93	$346.74	$724.44
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $208.93 / $346.74 / $724.44	Facility	QX	$208.93	$346.74	$724.44