Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $475.33 / $14,736.64	Facility		$203.58	$475.33	$14,736.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $223.94	Professional		$203.58	$203.58	$223.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $229.29	Facility		$192.06	$203.58	$229.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $203.58 / $203.58	Facility		$93.96	$203.58	$203.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $207.42 / $207.42	Professional		$203.58	$207.42	$207.42
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $260.58	Professional		$203.58	$215.79	$260.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $212.20 / $212.20	Professional		$203.58	$212.20	$212.20