Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $379.67 / $745.11	Facility		$225.11	$379.67	$745.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $247.62	Professional		$225.11	$225.11	$247.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $225.11 / $231.62	Facility		$212.37	$225.11	$231.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Facility		$225.11	$225.11	$225.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
United Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $224.97	Facility		$224.97	$224.97	$224.97
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $236.37	Professional		$225.11	$225.11	$236.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.19 / $225.19	Professional		$225.11	$225.19	$225.19