Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.57 / $167.00 / $709.95	Facility		$131.57	$167.00	$709.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $131.57 / $151.82	Professional		$109.85	$131.57	$151.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $139.97 / $616.72	Facility		$99.97	$139.97	$616.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $199.63 / $239.18	Professional		$106.58	$199.63	$239.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $172.06	Professional		$98.38	$98.38	$172.06
United Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $245.94 / $245.94	Facility		$245.94	$245.94	$245.94
United Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $85.02 / $303.63	Professional		$57.39	$85.02	$303.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $98.38	Professional		$98.38	$98.38	$98.38