Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	54	$338.84	$338.84	$338.84
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	54	$245.47	$245.47	$245.47
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $181.97 / $204.17 / $269.15	Facility	54	$181.97	$204.17	$269.15