Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $212.16 / $1,224.86	Facility		$169.73	$212.16	$1,224.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $192.36 / $254.59	Professional		$169.73	$192.36	$254.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.11 / $198.97 / $1,063.92	Facility		$142.11	$198.97	$1,063.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $344.97 / $413.31	Professional		$344.97	$344.97	$413.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $240.45	Professional		$169.73	$169.73	$240.45
United Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $424.32	Facility		$282.88	$282.88	$424.32
United Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $118.81 / $443.23	Professional		$99.01	$118.81	$443.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $169.73	Professional		$169.73	$169.73	$169.73