Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $3,019.95	Facility		$1,348.96	$2,398.83	$3,019.95
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $5,011.87	Facility		$1,412.54	$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
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,630.27	Facility		$870.96	$1,047.13	$2,630.27