Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $127.90 / $251.10	Facility		$75.86	$127.90	$251.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.44	Professional		$75.86	$75.86	$83.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $75.86 / $76.08	Facility		$71.56	$75.86	$76.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $80.15 / $80.15	Professional		$75.86	$80.15	$80.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $90.22	Professional		$75.86	$75.86	$90.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86