Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $423.69 / $439.99 / $485.31	Facility	54	$423.69	$439.99	$485.31
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $423.69 / $423.69 / $467.33	Facility	54	$423.69	$423.69	$467.33