Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,659.59 / $6,309.57	Facility		$162.18	$1,659.59	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $257.04	Professional		$104.71	$128.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $4,677.35	Facility		$2,951.21	$3,467.37	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $204.17	Professional		$100.00	$120.23	$204.17