Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $213.80	Professional		$50.12	$81.28	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $147.91	Facility		$120.23	$144.54	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20