Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	54	$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	54	$380.19	$380.19	$380.19