Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $149.31 / $201.56	Professional		$60.00	$149.31	$201.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $171.16 / $198.26	Professional		$150.47	$171.16	$198.26