Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $281.84	Facility		$114.82	$177.83	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $104.71	Professional		$74.13	$104.71	$104.71