Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $202.50 / $719.00	Facility		$47.22	$202.50	$719.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $51.81 / $909.45	Facility		$16.05	$51.81	$909.45