Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.11 / $322.11 / $355.76	Facility	54	$322.11	$322.11	$355.76
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,528.06 / $1,528.06 / $1,528.06	Facility	54	$1,528.06	$1,528.06	$1,528.06