Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $255.49 / $365.27	Facility		$199.60	$255.49	$365.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00