Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $1,500.00	Professional		$55.00	$78.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $4.17 / $4.17	Professional		$1.67	$4.17	$4.17