Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $200.21 / $479.88	Facility		$95.40	$200.21	$479.88
Molina Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $50.31 / $962.03	Facility		$15.93	$50.31	$962.03