Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.72 / $347.53 / $787.92	Facility	54	$233.72	$347.53	$787.92
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $383.22 / $383.22 / $383.22	Facility	54	$383.22	$383.22	$383.22