Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $352.52 / $503.29	Facility		$213.84	$352.52	$503.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $213.84 / $235.23	Professional		$212.36	$213.84	$235.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $220.38	Facility		$201.74	$213.84	$220.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Facility		$213.84	$213.84	$213.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $217.88 / $217.88	Professional		$213.84	$217.88	$217.88
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $224.53	Professional		$213.84	$213.84	$224.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $212.36 / $213.84	Professional		$212.36	$212.36	$213.84