Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.30 / $19.05	Facility		$8.51	$12.30	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96