Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.05 / $516.05 / $1,252.51	Facility	54	$347.05	$516.05	$1,252.51
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $567.41	Facility	54	$567.41	$567.41	$567.41