Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,897.79	Professional		$2,754.23	$2,754.23	$4,897.79
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 $1,584.89 / $1,949.84 / $3,548.13	Professional		$1,584.89	$1,949.84	$3,548.13