Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $469.55 / $548.63 / $696.21	Facility	54	$469.55	$548.63	$696.21
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $679.66 / $679.66 / $679.66	Facility	54	$679.66	$679.66	$679.66