Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $616.60 / $954.99	Facility	AA	$616.60	$616.60	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $446.68 / $446.68 / $524.81	Facility	QK	$446.68	$446.68	$524.81
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $229.09 / $323.59 / $724.44	Facility	QX	$229.09	$323.59	$724.44
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	QY	$275.42	$275.42	$275.42
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $891.25 / $891.25 / $1,071.52	Facility	QZ	$891.25	$891.25	$1,071.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $630.96 / $2,511.89	Professional	AA	$398.11	$630.96	$2,511.89
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $616.60 / $954.99	Facility	AA	$616.60	$616.60	$954.99
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $446.68 / $446.68 / $524.81	Facility	QK	$446.68	$446.68	$524.81
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $229.09 / $323.59 / $724.44	Facility	QX	$229.09	$323.59	$724.44
Martin's Point Facility/Professional Facility Modifier QY Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	QY	$275.42	$275.42	$275.42
Martin's Point Facility/Professional Facility Modifier QZ Low / Median / High Price $891.25 / $891.25 / $1,071.52	Facility	QZ	$891.25	$891.25	$1,071.52
Martin's Point Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $645.65 / $2,511.89	Professional	AA	$416.87	$645.65	$2,511.89