Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Professional		$26.42	$26.42	$26.42