Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
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 $95.50 / $13,803.84 / $13,803.84	Facility		$95.50	$13,803.84	$13,803.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Facility		$467.74	$467.74	$478.63