Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $226.25 / $226.25 / $226.25	Facility	AA	$226.25	$226.25	$226.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $5,435.10 / $5,435.10 / $5,665.68	Facility	QX	$5,435.10	$5,435.10	$5,665.68
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $962.60 / $981.34 / $1,780.06	Facility	QY	$962.60	$981.34	$1,780.06
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $226.25 / $226.25 / $226.25	Facility	AA	$226.25	$226.25	$226.25
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $5,435.10 / $5,435.10 / $5,665.68	Facility	QX	$5,435.10	$5,435.10	$5,665.68
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $962.60 / $981.34 / $1,780.06	Facility	QY	$962.60	$981.34	$1,780.06