Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
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 $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,818.38 / $3,981.07	Facility		$467.74	$2,818.38	$3,981.07