Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $745.84 / $745.84 / $745.84	Facility	QX	$745.84	$745.84	$745.84
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $745.84 / $745.84 / $745.84	Facility	QX	$745.84	$745.84	$745.84