Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $402.00 / $1,426.78	Facility		$214.18	$402.00	$1,426.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $224.07 / $296.56	Professional		$179.58	$224.07	$296.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $231.69 / $1,238.48	Facility		$165.49	$231.69	$1,238.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $273.95 / $577.62	Professional		$163.83	$273.95	$577.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $197.71 / $288.02	Professional		$197.71	$197.71	$288.02
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $494.26	Facility		$329.51	$329.51	$494.26
United Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $138.38 / $685.38	Professional		$115.33	$138.38	$685.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51