Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $5,011.87	Facility		$1,348.96	$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 $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76