Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $241.88 / $262.58 / $1,760.98	Facility	54	$241.88	$262.58	$1,760.98
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,163.50 / $1,299.08 / $1,299.08	Facility	54	$1,163.50	$1,299.08	$1,299.08
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $423.40 / $423.40 / $743.26	Facility	54	$423.40	$423.40	$743.26