Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $76.03 / $105.94	Facility		$75.27	$76.03	$105.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $76.03 / $76.03	Professional		$76.03	$76.03	$76.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $82.94 / $137.86	Professional		$69.58	$82.94	$137.86