Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.89 / $219.89 / $239.37	Facility	54	$219.89	$219.89	$239.37
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