Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $19,498.45 / $40,738.03	Facility		$416.87	$19,498.45	$40,738.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $4,365.16	Professional		$97.72	$134.90	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $25,703.96 / $40,738.03	Facility		$4,786.30	$25,703.96	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $190.55	Professional		$97.72	$123.03	$190.55