Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $169.82 / $338.84	Facility		$43.65	$169.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $60.26	Professional		$37.15	$42.66	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $251.19	Facility		$32.36	$47.86	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $95.50	Professional		$53.70	$75.86	$95.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $56.23	Professional		$37.15	$37.15	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $61.66	Facility		$23.44	$37.15	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $61.66	Professional		$21.88	$26.30	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $61.66	Professional		$37.15	$37.15	$61.66