Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $317.81 / $776.29	Facility		$169.33	$317.81	$776.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $169.33 / $203.19	Professional		$156.30	$169.33	$203.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $186.38 / $771.61	Facility		$130.84	$186.38	$771.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $273.35 / $442.40	Professional		$130.16	$273.35	$442.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $156.30 / $260.50	Professional		$117.25	$156.30	$260.50
United Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $156.30 / $234.45	Facility		$93.78	$156.30	$234.45
United Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $109.41 / $350.63	Professional		$91.18	$109.41	$350.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $156.30 / $156.30	Professional		$134.94	$156.30	$156.30