Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $126.21 / $180.81	Facility		$75.97	$126.21	$180.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $83.57	Professional		$75.97	$75.97	$83.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $77.20	Facility		$71.67	$75.97	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $109.88	Professional		$75.97	$75.97	$109.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $75.97	Professional		$74.86	$74.86	$75.97