Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.11 / $226.07 / $290.27	Facility	54	$202.11	$226.07	$290.27
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,057.56 / $1,057.56 / $1,057.56	Facility	54	$1,057.56	$1,057.56	$1,057.56