Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $137.60 / $173.92	Facility		$50.50	$137.60	$173.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $104.00 / $138.00	Facility		$85.00	$104.00	$138.00