Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.42 / $532.48 / $654.71	Facility	54	$465.42	$532.48	$654.71
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $654.61 / $654.61 / $654.61	Facility	54	$654.61	$654.61	$654.61