Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $164.04 / $250.84	Facility		$113.33	$164.04	$250.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $253.10	Professional		$114.54	$114.54	$253.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $114.54 / $114.54	Facility		$96.75	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $171.81	Professional		$114.54	$114.54	$171.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $114.54	Professional		$97.70	$97.70	$114.54