Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $562.34 / $691.83	Facility		$93.33	$562.34	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $602.56	Facility		$371.54	$416.87	$602.56