Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $309.93 / $471.09	Facility		$206.59	$309.93	$471.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $227.25	Professional		$206.59	$206.59	$227.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $211.72	Facility		$194.90	$206.59	$211.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Facility		$206.59	$206.59	$206.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $210.49 / $210.49	Professional		$206.59	$210.49	$210.49
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $238.41	Professional		$206.59	$206.59	$238.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.62 / $206.62	Professional		$206.59	$206.62	$206.62