Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AA	$870.96	$870.96	$870.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	QK	$371.54	$371.54	$371.54
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	QX	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AA	$870.96	$870.96	$870.96
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	QK	$371.54	$371.54	$371.54
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	QX	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	AA	$213.80	$213.80	$213.80