Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $35,481.34	Facility		$2,818.38	$3,715.35	$35,481.34
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,398.83	Facility		$1,071.52	$1,348.96	$2,398.83
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