Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	54	$426.58	$426.58	$426.58
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	54	$295.12	$295.12	$295.12
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $234.42 / $245.47 / $346.74	Facility	54	$234.42	$245.47	$346.74