Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,872.88 / $5,753.00 / $12,771.00	Facility		$3,872.88	$5,753.00	$12,771.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,910.79 / $17,910.79 / $17,910.79	Facility		$17,910.79	$17,910.79	$17,910.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,983.00 / $5,983.00 / $5,983.00	Facility		$5,983.00	$5,983.00	$5,983.00