Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $927.81 / $927.81 / $927.81	Facility	QK	$927.81	$927.81	$927.81
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $796.45 / $796.45 / $2,569.32	Facility	QX	$796.45	$796.45	$2,569.32
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $569.34 / $569.34 / $569.34	Facility	QY	$569.34	$569.34	$569.34
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $927.81 / $927.81 / $927.81	Facility	QK	$927.81	$927.81	$927.81
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $796.45 / $796.45 / $2,569.32	Facility	QX	$796.45	$796.45	$2,569.32
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $569.34 / $569.34 / $569.34	Facility	QY	$569.34	$569.34	$569.34