Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.96 / $4,955.00 / $31,505.00	Facility		$233.96	$4,955.00	$31,505.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $362.27 / $2,105.28	Professional		$271.83	$362.27	$2,105.28
United Facility/Professional Professional Modifier Low / Median / High Price $284.19 / $378.09 / $520.74	Professional		$284.19	$378.09	$520.74