Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.90 / $280.76 / $1,059.72	Facility	54	$255.90	$280.76	$1,059.72
Quartz 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