Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $616.60 / $691.83	Facility	AA	$616.60	$616.60	$691.83
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $602.56 / $602.56 / $676.08	Facility	QK	$602.56	$602.56	$676.08
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $177.83 / $323.59 / $416.87	Facility	QX	$177.83	$323.59	$416.87
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	QZ	$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $758.58 / $891.25	Professional	AA	$537.03	$758.58	$891.25
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $616.60 / $691.83	Facility	AA	$616.60	$616.60	$691.83
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $602.56 / $602.56 / $676.08	Facility	QK	$602.56	$602.56	$676.08
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $177.83 / $323.59 / $416.87	Facility	QX	$177.83	$323.59	$416.87
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	QZ	$1,288.25	$1,288.25	$1,288.25
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $676.08 / $891.25	Professional	AA	$537.03	$676.08	$891.25
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $588.84 / $676.08	Professional	QZ	$346.74	$588.84	$676.08