Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $87.66 / $144.66	Facility		$44.53	$87.66	$144.66
Molina Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $47.44 / $758.53	Facility		$16.67	$47.44	$758.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,976.00 / $4,976.00 / $4,976.00	Facility		$4,976.00	$4,976.00	$4,976.00