Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $10,964.78	Facility		$812.83	$1,698.24	$10,964.78
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 $95.50 / $13,803.84 / $13,803.84	Facility		$95.50	$13,803.84	$13,803.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Facility		$467.74	$467.74	$478.63