Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $351.78 / $586.95 / $743.38	Facility	QK	$351.78	$586.95	$743.38
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $16.48 / $974.16 / $2,291.83	Facility	QX	$16.48	$974.16	$2,291.83
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $827.61 / $827.61 / $827.61	Facility	QY	$827.61	$827.61	$827.61
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $351.78 / $586.95 / $743.38	Facility	QK	$351.78	$586.95	$743.38
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $16.48 / $974.16 / $2,291.83	Facility	QX	$16.48	$974.16	$2,291.83
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $827.61 / $827.61 / $827.61	Facility	QY	$827.61	$827.61	$827.61