Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $167.00 / $520.92	Facility		$4.95	$167.00	$520.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $118.87 / $157.33	Professional		$95.27	$118.87	$157.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $134.30 / $657.48	Facility		$95.92	$134.30	$657.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $140.46 / $296.77	Professional		$84.34	$140.46	$296.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $104.89 / $152.80	Professional		$104.89	$104.89	$152.80
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $262.20	Facility		$174.81	$174.81	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $73.42 / $235.29	Professional		$61.18	$73.42	$235.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81