Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $77.62 / $162.18	Facility		$54.95	$77.62	$162.18
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29