Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $225.67 / $225.67 / $315.93	Facility	QX	$225.67	$225.67	$315.93
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $225.67 / $225.67 / $315.93	Facility	QX	$225.67	$225.67	$315.93