Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.72 / $250.34 / $250.34	Facility	54	$212.72	$250.34	$250.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $336.49	Facility	54	$336.49	$336.49	$336.49
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $925.08 / $925.08 / $925.08	Facility	54	$925.08	$925.08	$925.08