Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.75 / $347.58 / $826.68	Facility	54	$233.75	$347.58	$826.68
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $385.46 / $385.46 / $385.46	Facility	54	$385.46	$385.46	$385.46