Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $206.20 / $241.60 / $924.14	Facility	54	$206.20	$241.60	$924.14
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $925.08 / $925.08 / $925.08	Facility	54	$925.08	$925.08	$925.08