Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $108.40 / $108.40	Facility		$108.40	$108.40	$108.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.78 / $335.78 / $335.78	Professional		$335.78	$335.78	$335.78
United Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $41.84	Facility		$41.34	$41.34	$41.84