Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.11 / $233.06 / $295.27	Facility	54	$209.11	$233.06	$295.27
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