Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $246.55 / $246.55 / $267.17	Facility	54	$246.55	$246.55	$267.17
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