Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	AA	$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	QK	$891.25	$891.25	$891.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	QX	$537.03	$537.03	$537.03
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	QZ	$1,905.46	$1,905.46	$1,905.46
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	AA	$3,801.89	$3,801.89	$3,801.89
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	QK	$891.25	$891.25	$891.25
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	QX	$537.03	$537.03	$537.03
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	QZ	$1,905.46	$1,905.46	$1,905.46