Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $25,118.86	Facility		$2,137.96	$3,090.30	$25,118.86
Molina Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,011.87 / $5,011.87	Facility		$2,398.83	$5,011.87	$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