Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $269.15	Facility		$104.71	$194.98	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $524.81	Facility		$97.72	$104.71	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Professional		$104.71	$104.71	$112.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Facility		$104.71	$104.71	$169.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $109.65	Professional		$104.71	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $489.78 / $870.96	Facility		$169.82	$489.78	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $489.78	Professional		$104.71	$104.71	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71