Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,570.88	Facility		$1,445.44	$2,089.30	$4,570.88
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $5,011.87	Facility		$1,071.52	$2,398.83	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84