Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $110.99 / $3,583.97	Facility		$36.90	$110.99	$3,583.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $69.37	Professional		$63.06	$63.06	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $63.06 / $84.92	Facility		$59.49	$63.06	$84.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $188.58	Facility		$63.06	$63.06	$188.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.63 / $66.63	Professional		$63.06	$66.63	$66.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $113.22	Professional		$63.06	$66.84	$113.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $32.09 / $63.06	Professional		$32.09	$32.09	$63.06