Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.25 / $1,659.25 / $1,659.25	Professional		$1,659.25	$1,659.25	$1,659.25
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 $10,168.04 / $10,168.04 / $10,168.04	Facility		$10,168.04	$10,168.04	$10,168.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $971.66 / $971.66 / $1,659.25	Professional		$971.66	$971.66	$1,659.25