Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
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 $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 $1,023.29 / $1,513.56 / $1,905.46	Facility		$1,023.29	$1,513.56	$1,905.46