Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $243.00 / $694.00	Facility		$217.00	$243.00	$694.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $837.48 / $837.48 / $1,594.76	Facility		$837.48	$837.48	$1,594.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $107.65 / $161.24	Facility		$55.17	$107.65	$161.24
Wellpoint Facility/Professional Facility Modifier Low / Median / High Price $2,116.00 / $2,300.00 / $4,071.00	Facility		$2,116.00	$2,300.00	$4,071.00