Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.78 / $335.78 / $335.78	Professional		$335.78	$335.78	$335.78
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 $102.75 / $102.75 / $335.78	Professional		$102.75	$102.75	$335.78