Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $231.63 / $258.60 / $392.84	Facility	54	$231.63	$258.60	$392.84
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $588.78 / $1,176.15 / $1,176.15	Facility	54	$588.78	$1,176.15	$1,176.15