Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $527.15 / $602.79 / $741.48	Facility	54	$527.15	$602.79	$741.48
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $743.26 / $743.26 / $743.26	Facility	54	$743.26	$743.26	$743.26