Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Facility		$331.13	$331.13	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $2,951.21	Facility		$1,621.81	$2,630.27	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $50.12	Professional		$31.62	$38.90	$50.12