Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QK	$302.00	$302.00	$302.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $257.04 / $257.04 / $407.38	Facility	QX	$257.04	$257.04	$407.38
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $588.84 / $1,445.44 / $1,862.09	Facility	QZ	$588.84	$1,445.44	$1,862.09
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $794.33 / $2,630.27	Professional	AA	$602.56	$794.33	$2,630.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $794.33 / $794.33 / $891.25	Professional	QZ	$794.33	$794.33	$891.25
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QK	$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $257.04 / $257.04 / $407.38	Facility	QX	$257.04	$257.04	$407.38
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $588.84 / $1,445.44 / $1,862.09	Facility	QZ	$588.84	$1,445.44	$1,862.09
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $776.25 / $3,388.44	Professional	AA	$549.54	$776.25	$3,388.44
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $794.33	Professional	QZ	$758.58	$758.58	$794.33