Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $903.90 / $903.90 / $903.90	Facility	QK	$903.90	$903.90	$903.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $804.88 / $1,092.31 / $1,964.56	Facility	QX	$804.88	$1,092.31	$1,964.56
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $709.42 / $709.42 / $709.42	Facility	QY	$709.42	$709.42	$709.42
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $903.90 / $903.90 / $903.90	Facility	QK	$903.90	$903.90	$903.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $804.88 / $1,092.31 / $1,964.56	Facility	QX	$804.88	$1,092.31	$1,964.56
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $709.42 / $709.42 / $709.42	Facility	QY	$709.42	$709.42	$709.42