Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $691.83 / $870.96	Facility	AA	$691.83	$691.83	$870.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	QK	$436.52	$436.52	$436.52
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $151.36 / $295.12 / $776.25	Facility	QX	$151.36	$295.12	$776.25
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	QZ	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,412.54 / $3,981.07	Professional	AA	$549.54	$1,412.54	$3,981.07
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	QZ	$588.84	$588.84	$588.84
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $691.83 / $870.96	Facility	AA	$691.83	$691.83	$870.96
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	QK	$436.52	$436.52	$436.52
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $151.36 / $275.42 / $776.25	Facility	QX	$151.36	$275.42	$776.25
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	QZ	$691.83	$691.83	$691.83
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $1,318.26 / $3,981.07	Professional	AA	$501.19	$1,318.26	$3,981.07
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $549.54 / $1,230.27	Professional	QZ	$407.38	$549.54	$1,230.27