Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.11 / $269.73 / $424.02	Facility	54	$225.11	$269.73	$424.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $423.40 / $423.40 / $423.40	Facility	54	$423.40	$423.40	$423.40
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