Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	QX	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $489.78 / $512.86	Professional	AA	$457.09	$489.78	$512.86
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	QX	$97.72	$97.72	$97.72
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $467.74 / $512.86	Professional	AA	$416.87	$467.74	$512.86