Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,509.35 / $6,509.35 / $6,509.35	Facility		$6,509.35	$6,509.35	$6,509.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.15 / $565.15 / $565.15	Professional		$565.15	$565.15	$565.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,509.35 / $6,509.35 / $6,509.35	Facility		$6,509.35	$6,509.35	$6,509.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.35 / $565.15 / $565.15	Professional		$331.35	$565.15	$565.15