Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,380.38	Facility		$457.09	$707.95	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $1,479.11	Professional		$724.44	$1,230.27	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,513.56	Professional		$758.58	$1,230.27	$1,513.56