Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $570.27 / $866.81	Facility		$381.36	$570.27	$866.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $381.36 / $419.50	Professional		$380.18	$381.36	$419.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $392.72	Facility		$359.77	$381.36	$392.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Facility		$381.36	$381.36	$381.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $388.56 / $388.56	Professional		$381.36	$388.56	$388.56
United Facility/Professional Facility Modifier Low / Median / High Price $374.36 / $456.72 / $668.23	Facility		$374.36	$456.72	$668.23
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $572.04	Professional		$381.36	$381.36	$572.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $380.18 / $381.36	Professional		$380.18	$380.18	$381.36