Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $46,773.51	Facility		$46,773.51	$46,773.51	$46,773.51
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 $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84