Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $132.91 / $1,236.98	Facility		$78.19	$132.91	$1,236.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $216.58 / $288.87	Professional		$117.65	$216.58	$288.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.87 / $241.08 / $787.96	Professional		$126.87	$241.08	$787.96