Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $224.10 / $276.26 / $522.90	Facility	QK	$224.10	$276.26	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $315.93 / $460.85 / $460.85	Facility	QX	$315.93	$460.85	$460.85
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $887.04 / $887.04 / $887.04	Facility	QZ	$887.04	$887.04	$887.04
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $224.10 / $276.26 / $522.90	Facility	QK	$224.10	$276.26	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $276.26 / $315.93 / $460.85	Facility	QX	$276.26	$315.93	$460.85
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $887.04 / $887.04 / $887.04	Facility	QZ	$887.04	$887.04	$887.04