Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.90 / $606.90 / $606.90	Facility		$606.90	$606.90	$606.90
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 $476.48 / $606.90 / $606.90	Facility		$476.48	$606.90	$606.90