Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.69 / $388.64 / $617.02	Facility		$165.69	$388.64	$617.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $324.16	Professional		$194.32	$294.69	$324.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $278.01 / $294.69	Facility		$192.18	$278.01	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $294.69 / $294.69	Facility		$1.93	$294.69	$294.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $311.37 / $311.37	Professional		$294.69	$311.37	$311.37
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $393.69	Professional		$294.69	$294.69	$393.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $294.69	Professional		$194.32	$194.32	$294.69