Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $258.83 / $501.60	Facility		$99.30	$258.83	$501.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $135.97	Professional		$123.36	$123.36	$135.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $123.36 / $123.36	Facility		$116.38	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $123.36 / $123.36	Facility		$46.35	$123.36	$123.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $125.69 / $125.69	Professional		$123.36	$125.69	$125.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $129.53	Professional		$123.36	$123.36	$129.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $135.97	Professional		$123.36	$123.36	$135.97