Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.22 / $343.55 / $2,331.19	Facility	54	$314.22	$343.55	$2,331.19
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,528.06 / $1,702.50 / $1,702.50	Facility	54	$1,528.06	$1,702.50	$1,702.50
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $556.47 / $556.47 / $975.16	Facility	54	$556.47	$556.47	$975.16