Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $130.19 / $178.82	Facility		$78.93	$130.19	$178.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $86.83	Professional		$78.93	$78.93	$86.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $82.88	Professional		$78.93	$78.93	$82.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.93	Professional		$78.43	$78.43	$78.93