Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,534.47 / $1,534.47 / $1,534.47	Professional		$1,534.47	$1,534.47	$1,534.47
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 $23,689.15 / $23,689.15 / $23,689.15	Facility		$23,689.15	$23,689.15	$23,689.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.56 / $898.56 / $1,534.47	Professional		$898.56	$898.56	$1,534.47