Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $403.27 / $403.27 / $403.27	Facility	54	$403.27	$403.27	$403.27
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $368.61 / $403.27 / $617.98	Facility	54	$368.61	$403.27	$617.98