Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,019.95	Facility		$2,951.21	$2,951.21	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $53.70	Professional		$28.18	$33.88	$53.70