Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $843.64 / $843.64 / $843.64	Facility	QX	$843.64	$843.64	$843.64
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $843.64 / $843.64 / $843.64	Facility	QX	$843.64	$843.64	$843.64