Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $184.45 / $213.52 / $1,482.76	Facility	54	$184.45	$213.52	$1,482.76
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $925.08 / $1,033.58 / $1,033.58	Facility	54	$925.08	$1,033.58	$1,033.58
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $619.27	Facility	54	$336.49	$336.49	$619.27