Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $361.79 / $361.79 / $397.25	Facility	54	$361.79	$361.79	$397.25
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