Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
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 $60.00 / $100.00 / $100.00	Facility		$60.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50