Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $162.97 / $162.97	Facility		$137.41	$162.97	$162.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Professional		$162.97	$162.97	$162.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $203.81 / $203.81	Facility		$153.75	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Facility		$162.97	$162.97	$162.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $185.00 / $185.00	Professional		$162.97	$185.00	$185.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $218.36	Professional		$162.97	$162.97	$218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $162.97	Professional		$156.16	$162.97	$162.97