Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.36 / $376.74 / $880.16	Facility	54	$253.36	$376.74	$880.16
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $413.00 / $413.00 / $413.00	Facility	54	$413.00	$413.00	$413.00