Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,348.96 / $13,489.63	Facility		$794.33	$1,348.96	$13,489.63
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $5,011.87	Facility		$1,174.90	$5,011.87	$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