Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $113.83	Facility		$90.00	$90.00	$113.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.57 / $222.57 / $222.57	Professional		$222.57	$222.57	$222.57
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 $69.90 / $90.00 / $113.83	Facility		$69.90	$90.00	$113.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $106.07 / $222.57	Professional		$87.98	$106.07	$222.57