Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.22 / $226.22 / $252.90	Facility	54	$226.22	$226.22	$252.90
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