Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	QX	$741.31	$741.31	$741.31
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	QX	$741.31	$741.31	$741.31