Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $374.68 / $374.68	Professional		$374.68	$374.68	$374.68
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 $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $121.43 / $374.68	Professional		$121.43	$121.43	$374.68