Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $484.01 / $1,135.67	Facility		$250.70	$484.01	$1,135.67
Molina Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $255.80 / $892.96	Facility		$71.09	$255.80	$892.96