Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $370.38	Facility		$100.00	$100.00	$370.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $90.00	Professional		$50.00	$55.00	$90.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $370.38	Facility		$65.00	$65.00	$370.38