Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $180.53 / $1,701.70 / $1,701.70	Facility	QX	$180.53	$1,701.70	$1,701.70
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $180.53 / $180.53 / $1,701.70	Facility	QX	$180.53	$180.53	$1,701.70