Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.10 / $277.10 / $277.10	Facility		$277.10	$277.10	$277.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.85 / $668.85 / $668.85	Professional		$668.85	$668.85	$668.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.32 / $277.10 / $277.10	Facility		$229.32	$277.10	$277.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.89 / $668.85 / $668.85	Professional		$345.89	$668.85	$668.85