Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $15,488.17	Facility		$1,096.48	$2,754.23	$15,488.17
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $5,011.87	Facility		$1,148.15	$1,348.96	$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 $2,089.30 / $9,332.54 / $17,782.79	Facility		$2,089.30	$9,332.54	$17,782.79