Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $611.10 / $611.10 / $960.30	Facility	AA	$611.10	$611.10	$960.30
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $448.20 / $448.20 / $522.90	Facility	QK	$448.20	$448.20	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $276.26 / $460.85 / $716.17	Facility	QX	$276.26	$460.85	$716.17
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $276.26 / $276.26 / $276.26	Facility	QY	$276.26	$276.26	$276.26
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $894.83 / $894.83 / $1,073.79	Facility	QZ	$894.83	$894.83	$1,073.79
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $611.10 / $611.10 / $960.30	Facility	AA	$611.10	$611.10	$960.30
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $448.20 / $448.20 / $522.90	Facility	QK	$448.20	$448.20	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $229.62 / $321.45 / $716.17	Facility	QX	$229.62	$321.45	$716.17
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $276.26 / $276.26 / $276.26	Facility	QY	$276.26	$276.26	$276.26
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $894.83 / $894.83 / $1,073.79	Facility	QZ	$894.83	$894.83	$1,073.79