Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,244.64 / $1,244.64 / $1,244.64	Professional		$1,244.64	$1,244.64	$1,244.64
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 $728.83 / $728.83 / $1,244.64	Professional		$728.83	$728.83	$1,244.64