Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QK	$298.80	$298.80	$298.80
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $297.12 / $297.12 / $297.12	Facility	QX	$297.12	$297.12	$297.12
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $298.80 / $298.80 / $298.80	Facility	QK	$298.80	$298.80	$298.80
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $297.12 / $297.12 / $297.12	Facility	QX	$297.12	$297.12	$297.12