Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $690.35 / $861.32 / $1,886.21	Facility	54	$690.35	$861.32	$1,886.21
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $975.16 / $975.16 / $975.16	Facility	54	$975.16	$975.16	$975.16