Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $399.88 / $415.26 / $458.71	Facility	54	$399.88	$415.26	$458.71
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $399.88 / $399.88 / $441.72	Facility	54	$399.88	$399.88	$441.72