Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,741.77 / $4,741.77 / $4,741.77	Professional		$4,741.77	$4,741.77	$4,741.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,465.92 / $1,465.92 / $1,465.92	Facility		$1,465.92	$1,465.92	$1,465.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,776.74 / $2,776.74 / $4,741.77	Professional		$2,776.74	$2,776.74	$4,741.77