Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $856.45 / $856.45 / $856.45	Facility	QX	$856.45	$856.45	$856.45
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $856.45 / $856.45 / $856.45	Facility	QX	$856.45	$856.45	$856.45