Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $7,585.78	Facility		$1,288.25	$1,348.96	$7,585.78
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $4,786.30	Facility		$1,096.48	$1,380.38	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $13,803.84 / $13,803.84	Facility		$95.50	$13,803.84	$13,803.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63