Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $259.32 / $315.17 / $502.45	Facility	54	$259.32	$315.17	$502.45
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $501.95 / $501.95 / $501.95	Facility	54	$501.95	$501.95	$501.95
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,378.64 / $1,535.49 / $1,535.49	Facility	54	$1,378.64	$1,535.49	$1,535.49
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $501.95 / $501.95 / $868.53	Facility	54	$501.95	$501.95	$868.53