Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $802.69 / $802.69 / $802.69	Professional		$802.69	$802.69	$802.69
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 $256.64 / $256.64 / $256.64	Facility		$256.64	$256.64	$256.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.46 / $505.46 / $802.69	Professional		$505.46	$505.46	$802.69