Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Professional		$7,500.00	$7,500.00	$7,500.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,500.00 / $28,500.00 / $28,500.00	Facility		$28,500.00	$28,500.00	$28,500.00