Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,636.04 / $2,636.04 / $4,993.39	Facility		$2,636.04	$2,636.04	$4,993.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,526.91 / $8,526.91 / $8,526.91	Professional		$8,526.91	$8,526.91	$8,526.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.72 / $1,817.61 / $2,019.57	Professional		$1,312.72	$1,817.61	$2,019.57