Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $251.19	Facility		$141.25	$144.54	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $676.08	Facility		$91.20	$194.98	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $169.82	Facility		$128.82	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $95.50	Professional		$60.26	$66.07	$95.50