Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $175.79 / $267.19	Facility		$117.36	$175.79	$267.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $129.10	Professional		$117.19	$117.36	$129.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $121.24	Facility		$110.72	$117.36	$121.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $124.40	Professional		$117.36	$117.36	$124.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $117.36	Professional		$117.19	$117.36	$117.36