Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $144.54	Facility		$44.67	$87.10	$144.54
Molina Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $575.44	Facility		$29.51	$61.66	$575.44