Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.04 / $378.04 / $378.04	Professional		$378.04	$378.04	$378.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $180.82 / $180.82	Facility		$180.82	$180.82	$180.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $170.52 / $378.04	Professional		$170.52	$170.52	$378.04