Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $469.52 / $593.69 / $1,274.06	Facility	54	$469.52	$593.69	$1,274.06
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $676.45 / $676.45 / $676.45	Facility	54	$676.45	$676.45	$676.45