Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $218.47 / $308.39	Facility		$129.47	$218.47	$308.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $142.43	Professional		$129.47	$129.47	$142.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $135.11	Facility		$122.15	$129.47	$135.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $135.94	Professional		$129.47	$129.47	$135.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.58 / $129.58	Professional		$129.47	$129.58	$129.58