Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $215.80 / $215.80	Professional		$215.80	$215.80	$215.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $201.12 / $201.12	Facility		$201.12	$201.12	$201.12