Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $650.90 / $737.26 / $932.44	Facility	54	$650.90	$737.26	$932.44
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $930.84 / $930.84 / $930.84	Facility	54	$930.84	$930.84	$930.84