Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $586.87 / $586.87	Professional		$586.87	$586.87	$586.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $437.57 / $437.57 / $437.57	Facility		$437.57	$437.57	$437.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $1.97 / $586.87	Professional		$1.97	$1.97	$586.87