Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $605.66 / $697.44 / $876.35	Facility	54	$605.66	$697.44	$876.35
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $868.53 / $868.53 / $868.53	Facility	54	$868.53	$868.53	$868.53