Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,275.18 / $1,275.18 / $1,275.18	Professional		$1,275.18	$1,275.18	$1,275.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $1,275.18 / $1,275.18	Professional		$565.50	$1,275.18	$1,275.18