Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $716.17 / $716.17 / $716.17	Facility	QX	$716.17	$716.17	$716.17
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $716.17 / $716.17 / $716.17	Facility	QX	$716.17	$716.17	$716.17