Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $1,148.15	Facility		$251.19	$478.63	$1,148.15
Molina Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $316.23 / $891.25	Facility		$64.57	$316.23	$891.25