Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $630.96 / $741.31 / $776.25	Facility	QK	$630.96	$741.31	$776.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	QX	$870.96	$870.96	$870.96
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $630.96 / $741.31 / $776.25	Facility	QK	$630.96	$741.31	$776.25
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	QX	$870.96	$870.96	$870.96