Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $518.33 / $580.77 / $718.18	Facility	54	$518.33	$580.77	$718.18
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $713.06 / $713.06 / $713.06	Facility	54	$713.06	$713.06	$713.06