Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $14,454.40 / $33,113.11	Facility		$2,630.27	$14,454.40	$33,113.11
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $5,011.87	Facility		$1,071.52	$1,348.96	$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 $4,168.69 / $18,620.87 / $35,481.34	Facility		$4,168.69	$18,620.87	$35,481.34