Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Facility		$489.78	$549.54	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $426.58 / $537.03	Professional		$30.20	$426.58	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Professional		$512.86	$512.86	$575.44