Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $747.00 / $747.00 / $896.40	Facility	QK	$747.00	$747.00	$896.40
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $285.00 / $706.77 / $861.05	Facility	QX	$285.00	$706.77	$861.05
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,920.60 / $1,920.60 / $1,921.92	Facility	QZ	$1,920.60	$1,920.60	$1,921.92
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $747.00 / $747.00 / $896.40	Facility	QK	$747.00	$747.00	$896.40
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $229.62 / $513.04 / $861.05	Facility	QX	$229.62	$513.04	$861.05
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,920.60 / $1,920.60 / $1,921.92	Facility	QZ	$1,920.60	$1,920.60	$1,921.92