Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.96 / $224.90 / $337.06	Facility	54	$175.96	$224.90	$337.06
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $336.49	Facility	54	$336.49	$336.49	$336.49
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