Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $117.29 / $163.38	Facility		$66.64	$117.29	$163.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $73.31	Professional		$66.64	$66.64	$73.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $66.64 / $69.23	Facility		$62.87	$66.64	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $74.64	Professional		$66.64	$66.64	$74.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $71.66	Professional		$66.64	$66.64	$71.66