Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.92 / $83.18	Facility		$24.55	$26.92	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $123.03	Professional		$47.86	$69.18	$123.03