Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $304.37 / $331.43 / $427.66	Facility	54	$304.37	$331.43	$427.66
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,551.35 / $1,551.35 / $1,551.35	Facility	54	$1,551.35	$1,551.35	$1,551.35