Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,115.50 / $2,409.00 / $3,342.00	Facility		$1,115.50	$2,409.00	$3,342.00
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 $1,350.00 / $2,702.00 / $5,000.00	Facility		$1,350.00	$2,702.00	$5,000.00