Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $167.00 / $1,662.72	Facility		$124.80	$167.00	$1,662.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $134.40 / $176.64	Professional		$104.64	$134.40	$176.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.46 / $135.04 / $1,443.64	Facility		$96.46	$135.04	$1,443.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.55 / $467.55 / $560.17	Professional		$467.55	$467.55	$560.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $230.40 / $230.40	Professional		$163.19	$230.40	$230.40
United Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $172.80 / $288.00	Facility		$172.80	$172.80	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $80.64 / $300.83	Professional		$67.20	$80.64	$300.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.40 / $230.40 / $230.40	Professional		$230.40	$230.40	$230.40