Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $241.64 / $264.05 / $264.05	Facility	54	$241.64	$264.05	$264.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.22 / $383.22 / $383.22	Facility	54	$383.22	$383.22	$383.22
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,051.20 / $1,051.20 / $1,051.20	Facility	54	$1,051.20	$1,051.20	$1,051.20