Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $39,810.72	Facility		$19,498.45	$28,840.32	$39,810.72
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $5,011.87	Facility		$1,071.52	$1,174.90	$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