Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $98.60 / $149.86	Facility		$65.63	$98.60	$149.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $72.19	Professional		$65.63	$65.63	$72.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $65.63 / $67.27	Facility		$61.91	$65.63	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Facility		$65.63	$65.63	$65.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.86 / $66.86	Professional		$65.63	$66.86	$66.86
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $77.93 / $114.03	Facility		$63.88	$77.93	$114.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $76.76	Professional		$65.63	$65.63	$76.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.72 / $65.72	Professional		$65.63	$65.72	$65.72