Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $189.36 / $287.83	Facility		$127.45	$189.36	$287.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $140.19	Professional		$127.45	$127.45	$140.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $139.84	Facility		$120.24	$127.45	$139.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Facility		$127.45	$127.45	$127.45
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $129.86 / $129.86	Professional		$127.45	$129.86	$129.86
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $135.21	Professional		$127.45	$127.45	$135.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $127.45	Professional		$126.24	$126.24	$127.45