Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.47 / $220.82 / $1,601.31	Facility	54	$200.47	$220.82	$1,601.31
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,085.10 / $1,219.88 / $1,219.88	Facility	54	$1,085.10	$1,219.88	$1,219.88
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $392.80 / $392.80 / $679.66	Facility	54	$392.80	$392.80	$679.66