Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	54	$269.15	$269.15	$269.15
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $208.93 / $213.80 / $309.03	Facility	54	$208.93	$213.80	$309.03