Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.99 / $251.23 / $318.63	Facility	54	$229.99	$251.23	$318.63
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,163.50 / $1,163.50 / $1,163.50	Facility	54	$1,163.50	$1,163.50	$1,163.50