Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.64 / $360.11 / $566.41	Facility	54	$300.64	$360.11	$566.41
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $567.41	Facility	54	$567.41	$567.41	$567.41
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