Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.50 / $391.58 / $925.76	Facility		$187.50	$391.58	$925.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $200.69	Professional		$182.45	$182.45	$200.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $182.45 / $193.39	Facility		$172.12	$182.45	$193.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $182.45 / $182.45	Facility		$65.54	$182.45	$182.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $192.77 / $192.77	Professional		$182.45	$192.77	$192.77
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $319.29	Professional		$182.45	$182.45	$319.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $195.79 / $195.79	Professional		$182.45	$195.79	$195.79