Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	AA	$707.95	$707.95	$707.95
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $316.23 / $524.81 / $870.96	Facility	QX	$316.23	$524.81	$870.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $616.60 / $870.96	Professional	AA	$169.82	$616.60	$870.96
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	AA	$707.95	$707.95	$707.95
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $316.23 / $524.81 / $870.96	Facility	QX	$316.23	$524.81	$870.96
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $724.44 / $870.96	Professional	AA	$616.60	$724.44	$870.96
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	QZ	$776.25	$776.25	$776.25