Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $265.87 / $265.87 / $290.52	Facility	54	$265.87	$265.87	$290.52
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