Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $495.00 / $867.00	Facility		$158.00	$495.00	$867.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $95.39 / $206.98 / $498.19	Facility		$95.39	$206.98	$498.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $76.95 / $161.24	Facility		$55.17	$76.95	$161.24
Molina Facility/Professional Facility Modifier Low / Median / High Price $3,860.00 / $4,632.00 / $5,000.00	Facility		$3,860.00	$4,632.00	$5,000.00
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $375.52 / $9,622.78	Facility		$34.27	$375.52	$9,622.78