Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $836.40 / $836.40 / $836.40	Professional		$836.40	$836.40	$836.40
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 $258.61 / $258.61 / $258.61	Facility		$258.61	$258.61	$258.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $489.81 / $836.40	Professional		$489.81	$489.81	$836.40