Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.49 / $218.49 / $245.18	Facility	54	$218.49	$218.49	$245.18
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