Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $369.90	Professional		$50.00	$85.00	$369.90
United Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $264.38 / $314.39	Professional		$201.54	$264.38	$314.39