Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,297.33 / $1,383.82 / $1,496.26	Facility		$1,297.33	$1,383.82	$1,496.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $160.78 / $184.82	Professional		$118.27	$160.78	$184.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $251.74	Professional		$40.00	$40.00	$251.74
United Facility/Professional Professional Modifier Low / Median / High Price $468.37 / $690.76 / $1,270.23	Professional		$468.37	$690.76	$1,270.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $629.24 / $629.24	Professional		$629.24	$629.24	$629.24