Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,059.75 / $1,059.75 / $1,059.75	Professional		$1,059.75	$1,059.75	$1,059.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.30 / $1,027.30 / $1,027.30	Facility		$1,027.30	$1,027.30	$1,027.30
United Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $889.25	Professional		$889.25	$889.25	$889.25