Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $45.80 / $73.03	Facility		$21.72	$45.80	$73.03
Molina Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Facility		$3,750.00	$3,750.00	$3,750.00