Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $621.48 / $621.48 / $944.99	Facility	AA	$621.48	$621.48	$944.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $257.97 / $387.39 / $944.99	Facility	QK	$257.97	$387.39	$944.99
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $714.38 / $925.45 / $1,771.69	Facility	QX	$714.38	$925.45	$1,771.69
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $264.13 / $264.13 / $363.19	Facility	QY	$264.13	$264.13	$363.19
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $621.48 / $621.48 / $944.99	Facility	AA	$621.48	$621.48	$944.99
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $257.97 / $387.39 / $944.99	Facility	QK	$257.97	$387.39	$944.99
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $714.38 / $925.45 / $1,771.69	Facility	QX	$714.38	$925.45	$1,771.69
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $264.13 / $264.13 / $363.19	Facility	QY	$264.13	$264.13	$363.19