Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.59 / $242.21 / $310.86	Facility	54	$221.59	$242.21	$310.86
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