Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $354.81 / $588.84 / $741.31	Facility	QK	$354.81	$588.84	$741.31
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $16.60 / $977.24 / $2,290.87	Facility	QX	$16.60	$977.24	$2,290.87
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	QY	$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $354.81 / $588.84 / $741.31	Facility	QK	$354.81	$588.84	$741.31
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $16.60 / $977.24 / $2,290.87	Facility	QX	$16.60	$977.24	$2,290.87
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	QY	$831.76	$831.76	$831.76