Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.36 / $220.85 / $288.52	Facility	54	$203.36	$220.85	$288.52
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