Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.50 / $339.40 / $2,397.57	Facility	54	$313.50	$339.40	$2,397.57
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,551.35 / $1,715.60 / $1,715.60	Facility	54	$1,551.35	$1,715.60	$1,715.60
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $993.15	Facility	54	$567.41	$567.41	$993.15