Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $275.20 / $347.84	Facility		$50.50	$275.20	$347.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $154.04 / $248.00	Facility		$115.53	$154.04	$248.00