Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $297.56 / $327.76 / $418.91	Facility	54	$297.56	$327.76	$418.91
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,528.06 / $1,528.06 / $1,750.74	Facility	54	$1,528.06	$1,528.06	$1,750.74