Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,180.41 / $1,180.41 / $1,180.41	Professional		$1,180.41	$1,180.41	$1,180.41
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 $8,159.60 / $8,159.60 / $8,159.60	Facility		$8,159.60	$8,159.60	$8,159.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.29 / $691.29 / $1,180.41	Professional		$691.29	$691.29	$1,180.41