Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $135.50 / $617.59	Facility		$92.71	$135.50	$617.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $96.99 / $128.37	Professional		$85.58	$96.99	$128.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $109.58 / $536.44	Facility		$78.28	$109.58	$536.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $173.80 / $208.23	Professional		$114.10	$173.80	$208.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $121.24	Professional		$85.58	$85.58	$121.24
United Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $213.94	Facility		$142.63	$142.63	$213.94
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $59.90 / $223.48	Professional		$49.92	$59.90	$223.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58