Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $428.69 / $428.69 / $428.69	Facility	QK	$428.69	$428.69	$428.69
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $208.39 / $208.39 / $208.39	Facility	QY	$208.39	$208.39	$208.39
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $428.69 / $428.69 / $428.69	Facility	QK	$428.69	$428.69	$428.69
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $208.39 / $208.39 / $208.39	Facility	QY	$208.39	$208.39	$208.39