Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.54 / $248.54 / $275.70	Facility	54	$248.54	$248.54	$275.70
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