Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $458.64 / $458.64 / $458.64	Facility	QX	$458.64	$458.64	$458.64
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $458.64 / $458.64 / $458.64	Facility	QX	$458.64	$458.64	$458.64