Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $562.34 / $1,047.13	Facility		$154.88	$562.34	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $1,905.46	Facility		$100.00	$154.88	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $6,309.57	Professional		$181.97	$309.03	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,606.93 / $6,606.93	Facility		$933.25	$6,606.93	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,309.57 / $6,309.57	Professional		$4,677.35	$6,309.57	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $851.14	Professional		$173.78	$302.00	$851.14