Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Facility		$76.00	$76.00	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00