Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $960.30	Facility	AA	$960.30	$960.30	$960.30
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $410.85 / $410.85 / $1,262.88	Facility	QK	$410.85	$410.85	$1,262.88
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $394.65 / $671.44 / $671.44	Facility	QX	$394.65	$671.44	$671.44
Martin's Point Facility/Professional Facility Modifier AA Low / Median / High Price $960.30 / $960.30 / $960.30	Facility	AA	$960.30	$960.30	$960.30
Martin's Point Facility/Professional Facility Modifier QK Low / Median / High Price $410.85 / $410.85 / $1,262.88	Facility	QK	$410.85	$410.85	$1,262.88
Martin's Point Facility/Professional Facility Modifier QX Low / Median / High Price $157.97 / $394.65 / $671.44	Facility	QX	$157.97	$394.65	$671.44