Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $115.91 / $176.18	Facility		$77.39	$115.91	$176.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $85.13	Professional		$77.27	$77.39	$85.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $77.39 / $77.39	Facility		$73.01	$77.39	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Facility		$77.39	$77.39	$77.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $86.68	Professional		$77.39	$77.39	$86.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $77.39	Professional		$77.27	$77.39	$77.39