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 / $611.10	Facility	AA	$527.05	$527.05	$611.10
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $185.49 / $298.80 / $522.90	Facility	QK	$185.49	$298.80	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $178.36 / $858.44 / $858.44	Facility	QX	$178.36	$858.44	$858.44
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $873.00 / $1,252.76 / $1,290.09	Facility	QZ	$873.00	$1,252.76	$1,290.09
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $527.05 / $527.05 / $611.10	Facility	AA	$527.05	$527.05	$611.10
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $185.49 / $298.80 / $522.90	Facility	QK	$185.49	$298.80	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $177.50 / $229.62 / $858.44	Facility	QX	$177.50	$229.62	$858.44
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $873.00 / $1,252.76 / $1,290.09	Facility	QZ	$873.00	$1,252.76	$1,290.09