Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $153.80 / $464.78	Facility		$64.62	$153.80	$464.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $75.05	Professional		$64.62	$64.62	$75.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.62 / $64.62	Facility		$60.96	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $68.28 / $68.28	Professional		$64.62	$68.28	$68.28
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $109.05	Professional		$64.62	$64.62	$109.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.05 / $75.05	Professional		$64.62	$75.05	$75.05