Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $698.40 / $698.40 / $878.43	Facility	AA	$698.40	$698.40	$878.43
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $434.12 / $434.12 / $434.12	Facility	QK	$434.12	$434.12	$434.12
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $206.66 / $777.45 / $777.45	Facility	QX	$206.66	$777.45	$777.45
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $240.00 / $240.00 / $773.50	Professional	AA	$240.00	$240.00	$773.50
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $698.40 / $698.40 / $878.43	Facility	AA	$698.40	$698.40	$878.43
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $434.12 / $434.12 / $434.12	Facility	QK	$434.12	$434.12	$434.12
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $152.13 / $276.26 / $777.45	Facility	QX	$152.13	$276.26	$777.45