Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $121.63	Professional		$50.00	$85.00	$121.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $77.36 / $186.55	Facility		$68.38	$77.36	$186.55
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $122.91 / $169.61	Professional		$86.76	$122.91	$169.61