Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $292.73 / $353.93 / $556.97	Facility	54	$292.73	$353.93	$556.97
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $556.47 / $556.47 / $556.47	Facility	54	$556.47	$556.47	$556.47
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