Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $134.78 / $282.94	Professional		$103.50	$134.78	$282.94
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 $87.54 / $87.54 / $87.54	Professional		$87.54	$87.54	$87.54