Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $83.18	Facility		$26.92	$34.67	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $123.03	Professional		$54.95	$79.43	$123.03