Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $24,547.09 / $46,773.51	Facility		$5,495.41	$24,547.09	$46,773.51
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $5,011.87	Facility		$1,071.52	$1,174.90	$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 $5,495.41 / $24,547.09 / $46,773.51	Facility		$5,495.41	$24,547.09	$46,773.51