Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $414.84 / $484.10 / $617.24	Facility	54	$414.84	$484.10	$617.24
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $619.27 / $619.27 / $619.27	Facility	54	$619.27	$619.27	$619.27