Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,526.91 / $8,526.91 / $8,526.91	Professional		$8,526.91	$8,526.91	$8,526.91
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 $2,636.04 / $2,636.04 / $2,636.04	Facility		$2,636.04	$2,636.04	$2,636.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,993.39 / $4,993.39 / $8,526.91	Professional		$4,993.39	$4,993.39	$8,526.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.74 / $1,211.74 / $1,211.74	Professional		$1,211.74	$1,211.74	$1,211.74