Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $1,047.13	Facility	AA	$954.99	$954.99	$1,047.13
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $234.42 / $234.42 / $524.81	Facility	QK	$234.42	$234.42	$524.81
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $15.14 / $204.17 / $912.01	Facility	QX	$15.14	$204.17	$912.01
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,071.52 / $1,071.52 / $1,230.27	Facility	QZ	$1,071.52	$1,071.52	$1,230.27
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $776.25 / $2,630.27	Professional	AA	$478.63	$776.25	$2,630.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	QZ	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $1,047.13	Facility	AA	$954.99	$954.99	$1,047.13
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $234.42 / $234.42 / $524.81	Facility	QK	$234.42	$234.42	$524.81
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $15.14 / $204.17 / $912.01	Facility	QX	$15.14	$204.17	$912.01
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,071.52 / $1,071.52 / $1,230.27	Facility	QZ	$1,071.52	$1,071.52	$1,230.27
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $724.44 / $2,511.89	Professional	AA	$416.87	$724.44	$2,511.89
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $501.19 / $602.56	Professional	QZ	$275.42	$501.19	$602.56