Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,511.38 / $22,908.68	Facility		$1,548.82	$8,511.38	$22,908.68
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $5,011.87	Facility		$1,148.15	$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
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $12,882.50 / $23,988.33	Facility		$2,818.38	$12,882.50	$23,988.33