Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $3,810.07 / $3,810.07 / $3,810.07	Facility	AA	$3,810.07	$3,810.07	$3,810.07
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $896.40 / $896.40 / $896.40	Facility	QK	$896.40	$896.40	$896.40
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $304.27 / $535.44 / $535.44	Facility	QX	$304.27	$535.44	$535.44
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,920.60 / $1,920.60 / $1,920.60	Facility	QZ	$1,920.60	$1,920.60	$1,920.60
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $3,810.07 / $3,810.07 / $3,810.07	Facility	AA	$3,810.07	$3,810.07	$3,810.07
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $896.40 / $896.40 / $896.40	Facility	QK	$896.40	$896.40	$896.40
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $304.27 / $304.27 / $535.44	Facility	QX	$304.27	$304.27	$535.44
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,920.60 / $1,920.60 / $1,920.60	Facility	QZ	$1,920.60	$1,920.60	$1,920.60