Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.12 / $280.79 / $280.79	Facility	54	$250.12	$280.79	$280.79
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.80 / $392.80 / $392.80	Facility	54	$392.80	$392.80	$392.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,085.10 / $1,085.10 / $1,085.10	Facility	54	$1,085.10	$1,085.10	$1,085.10