Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $269.15	Facility		$162.18	$162.18	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $199.53	Professional		$181.97	$181.97	$199.53