Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $797.84 / $797.84 / $797.84	Facility	AA	$797.84	$797.84	$797.84
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $189.70 / $189.70 / $189.70	Facility	QK	$189.70	$189.70	$189.70
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $525.30 / $780.19 / $812.70	Facility	QX	$525.30	$780.19	$812.70
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $293.48 / $375.65 / $792.38	Facility	QY	$293.48	$375.65	$792.38
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $797.84 / $797.84 / $1,292.93	Facility	AA	$797.84	$797.84	$1,292.93
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $189.70 / $189.70 / $189.70	Facility	QK	$189.70	$189.70	$189.70
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $525.30 / $795.56 / $812.70	Facility	QX	$525.30	$795.56	$812.70
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $293.48 / $375.65 / $792.38	Facility	QY	$293.48	$375.65	$792.38