Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $527.05 / $527.05 / $527.05	Facility	AA	$527.05	$527.05	$527.05
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $629.03 / $629.03 / $1,177.61	Facility	QX	$629.03	$629.03	$1,177.61
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,047.59 / $1,047.59 / $1,047.59	Facility	QZ	$1,047.59	$1,047.59	$1,047.59
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $527.05 / $527.05 / $527.05	Facility	AA	$527.05	$527.05	$527.05
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $629.03 / $629.03 / $1,177.61	Facility	QX	$629.03	$629.03	$1,177.61
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,047.59 / $1,047.59 / $1,047.59	Facility	QZ	$1,047.59	$1,047.59	$1,047.59