Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $265.58 / $291.20 / $1,085.95	Facility	54	$265.58	$291.20	$1,085.95
Quartz 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