Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $217.10 / $4,484.78	Facility		$99.13	$217.10	$4,484.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $3,283.27	Professional		$99.13	$99.13	$3,283.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $131.57	Facility		$93.52	$99.13	$131.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Facility		$99.13	$99.13	$99.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $105.08 / $126.89	Professional		$99.13	$105.08	$126.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $103.71 / $103.71	Professional		$99.13	$103.71	$103.71