Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $873.00 / $873.00 / $873.00	Facility	AA	$873.00	$873.00	$873.00
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $373.50 / $373.50 / $373.50	Facility	QK	$373.50	$373.50	$373.50
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $594.25 / $594.25 / $594.25	Facility	QX	$594.25	$594.25	$594.25
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $873.00 / $873.00 / $873.00	Facility	AA	$873.00	$873.00	$873.00
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $373.50 / $373.50 / $373.50	Facility	QK	$373.50	$373.50	$373.50
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $594.25 / $594.25 / $594.25	Facility	QX	$594.25	$594.25	$594.25