Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $966.28	Facility	AA	$960.30	$960.30	$966.28
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $597.60 / $597.60 / $597.60	Facility	QK	$597.60	$597.60	$597.60
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $321.45 / $925.04 / $925.04	Facility	QX	$321.45	$925.04	$925.04
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,358.00 / $1,474.40 / $1,487.58	Facility	QZ	$1,358.00	$1,474.40	$1,487.58
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $966.28	Facility	AA	$960.30	$960.30	$966.28
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $597.60 / $597.60 / $597.60	Facility	QK	$597.60	$597.60	$597.60
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $203.84 / $321.45 / $925.04	Facility	QX	$203.84	$321.45	$925.04
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,358.00 / $1,474.40 / $1,487.58	Facility	QZ	$1,358.00	$1,474.40	$1,487.58