Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $5,011.87	Facility		$1,148.15	$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 $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96