Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	QK	$489.78	$489.78	$489.78
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility	QX	$575.44	$575.44	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $758.58 / $776.25 / $1,230.27	Professional	AA	$758.58	$776.25	$1,230.27
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	QK	$489.78	$489.78	$489.78
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility	QX	$575.44	$575.44	$1,288.25
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $776.25 / $1,230.27	Professional	AA	$645.65	$776.25	$1,230.27
Martin's Point Facility/Professional Professional Modifier QZ Low / Median / High Price $724.44 / $724.44 / $724.44	Professional	QZ	$724.44	$724.44	$724.44