Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	QX	$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	QX	$851.14	$851.14	$851.14