Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	QX	$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	QX	$549.54	$549.54	$549.54
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	QX	$724.44	$724.44	$724.44
Martin's Point Facility/Professional Professional Modifier QX Low / Median / High Price $467.74 / $467.74 / $549.54	Professional	QX	$467.74	$467.74	$549.54
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $331.13 / $467.74	Professional	QZ	$100.00	$331.13	$467.74