Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,995.26	Facility		$1,584.89	$1,698.24	$1,995.26
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,398.83	Facility		$1,348.96	$1,348.96	$2,398.83
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 $1,047.13 / $1,047.13 / $1,288.25	Facility		$1,047.13	$1,047.13	$1,288.25