Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $478.63	Facility		$95.50	$199.53	$478.63
Molina Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $478.63	Facility		$17.78	$39.81	$478.63