Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $264.04 / $290.45 / $290.45	Facility	54	$264.04	$290.45	$290.45
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $413.00 / $413.00 / $413.00	Facility	54	$413.00	$413.00	$413.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,134.90 / $1,134.90 / $1,134.90	Facility	54	$1,134.90	$1,134.90	$1,134.90