Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $314.99 / $432.63	Facility		$193.76	$314.99	$432.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $213.13	Professional		$193.76	$193.76	$213.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $195.63	Facility		$182.79	$193.76	$195.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Facility		$193.76	$193.76	$193.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $205.39	Professional		$193.76	$193.76	$205.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $193.76 / $193.76	Professional		$189.75	$193.76	$193.76