Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.20 / $246.74 / $394.59	Facility	54	$202.20	$246.74	$394.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.80 / $392.80 / $392.80	Facility	54	$392.80	$392.80	$392.80
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