Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.77 / $239.77 / $262.74	Facility	54	$239.77	$239.77	$262.74
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