Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.97 / $272.57 / $416.77	Facility	54	$248.97	$272.57	$416.77
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $632.63 / $1,265.66 / $1,265.66	Facility	54	$632.63	$1,265.66	$1,265.66