Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $426.58	Professional		$288.40	$302.00	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $457.09	Professional		$173.78	$295.12	$457.09