Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.33 / $295.29 / $377.90	Facility	54	$266.33	$295.29	$377.90
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,378.64 / $1,378.64 / $1,378.64	Facility	54	$1,378.64	$1,378.64	$1,378.64