Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $861.05 / $861.05 / $861.05	Facility	QX	$861.05	$861.05	$861.05
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $861.05 / $861.05 / $861.05	Facility	QX	$861.05	$861.05	$861.05