Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $201.05 / $223.52 / $1,583.60	Facility	54	$201.05	$223.52	$1,583.60
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,057.56 / $1,176.15 / $1,176.15	Facility	54	$1,057.56	$1,176.15	$1,176.15
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $385.46 / $385.46 / $676.45	Facility	54	$385.46	$385.46	$676.45