Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.81 / $217.81 / $254.39	Facility	54	$217.81	$217.81	$254.39
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $336.49	Facility	54	$336.49	$336.49	$336.49
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $217.81 / $217.81 / $254.39	Facility	54	$217.81	$217.81	$254.39
Priority Health Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $336.49	Facility	54	$336.49	$336.49	$336.49