Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $451.82 / $451.82 / $451.82	Facility	QX	$451.82	$451.82	$451.82
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $451.82 / $451.82 / $451.82	Facility	QX	$451.82	$451.82	$451.82