Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $296.45 / $660.77	Facility		$257.99	$296.45	$660.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $384.40	Professional		$257.99	$257.99	$384.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Facility		$257.99	$257.99	$257.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $304.43	Professional		$257.99	$257.99	$304.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $257.99	Professional		$257.99	$257.99	$257.99