Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $306.26 / $455.41 / $1,049.90	Facility	54	$306.26	$455.41	$1,049.90
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $501.95 / $501.95 / $501.95	Facility	54	$501.95	$501.95	$501.95