Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.33 / $183.33 / $207.20	Facility		$183.33	$183.33	$207.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $145.47 / $145.47	Professional		$145.47	$145.47	$145.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00