Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $343.70 / $380.10 / $1,438.28	Facility	54	$343.70	$380.10	$1,438.28
Quartz 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