Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $262.11 / $389.76 / $915.43	Facility	54	$262.11	$389.76	$915.43
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $423.40 / $423.40 / $423.40	Facility	54	$423.40	$423.40	$423.40