Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $9.55	Facility		$5.75	$5.75	$9.55
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 $5.89 / $5.89 / $6.46	Professional		$5.89	$5.89	$6.46