Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $730.36 / $795.52 / $971.51	Facility	54	$730.36	$795.52	$971.51
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $993.15 / $993.15 / $993.15	Facility	54	$993.15	$993.15	$993.15