Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $7,585.78	Facility		$1,698.24	$3,388.44	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,513.56	Professional		$478.63	$741.31	$1,513.56