Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $268.85 / $383.85	Facility		$165.83	$268.85	$383.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $165.83 / $182.41	Professional		$161.96	$165.83	$182.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Facility		$165.83	$165.83	$165.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $174.12	Professional		$165.83	$165.83	$174.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $165.83	Professional		$161.96	$161.96	$165.83