Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $676.08	Facility		$112.20	$208.93	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $151.36	Professional		$63.10	$112.20	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $346.74	Facility		$56.23	$89.13	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $257.04	Professional		$91.20	$109.65	$257.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $123.03	Professional		$81.28	$81.28	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $165.96	Facility		$57.54	$102.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $114.82	Professional		$33.88	$58.88	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $134.90	Professional		$67.61	$67.61	$134.90