Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $149.72 / $227.59	Facility		$99.97	$149.72	$227.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.97 / $109.96	Professional		$99.82	$99.97	$109.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $103.77	Facility		$94.31	$99.97	$103.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Facility		$99.97	$99.97	$99.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $104.97	Professional		$99.97	$99.97	$104.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.97	Professional		$99.82	$99.82	$99.97