Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $283.47 / $544.79	Facility		$164.59	$283.47	$544.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $181.05	Professional		$164.59	$164.59	$181.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $174.18	Facility		$155.27	$164.59	$174.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Facility		$164.59	$164.59	$164.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $167.69 / $167.69	Professional		$164.59	$167.69	$167.69
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $205.68	Professional		$164.59	$164.59	$205.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $168.13 / $168.13	Professional		$164.59	$168.13	$168.13