Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $611.10 / $611.10 / $611.10	Facility	AA	$611.10	$611.10	$611.10
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $336.15 / $336.15 / $522.90	Facility	QK	$336.15	$336.15	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $305.76 / $716.17 / $716.17	Facility	QX	$305.76	$716.17	$716.17
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $469.92 / $469.92 / $469.92	Facility	QZ	$469.92	$469.92	$469.92
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $611.10 / $611.10 / $611.10	Facility	AA	$611.10	$611.10	$611.10
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $336.15 / $336.15 / $522.90	Facility	QK	$336.15	$336.15	$522.90
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $203.10 / $305.76 / $716.17	Facility	QX	$203.10	$305.76	$716.17
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $469.92 / $469.92 / $469.92	Facility	QZ	$469.92	$469.92	$469.92