Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $190.80 / $384.20	Facility		$141.97	$190.80	$384.20
Molina Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $55.34 / $850.08	Facility		$18.96	$55.34	$850.08