Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $494.18 / $696.62 / $821.73	Facility	QK	$494.18	$696.62	$821.73
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,251.56 / $2,704.03 / $5,168.77	Facility	QX	$1,251.56	$2,704.03	$5,168.77
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $1,086.83 / $1,086.83 / $1,086.83	Facility	QY	$1,086.83	$1,086.83	$1,086.83
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $494.18 / $696.62 / $821.73	Facility	QK	$494.18	$696.62	$821.73
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $1,251.56 / $2,704.03 / $5,168.77	Facility	QX	$1,251.56	$2,704.03	$5,168.77
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $1,086.83 / $1,086.83 / $1,086.83	Facility	QY	$1,086.83	$1,086.83	$1,086.83