Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $33.11	Facility		$14.79	$14.79	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $89.13	Facility		$14.79	$33.11	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $89.13	Facility		$60.26	$60.26	$89.13