Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $117.49	Facility		$89.13	$89.13	$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 / $53.70 / $83.18	Facility		$26.92	$53.70	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $131.83	Professional		$51.29	$69.18	$131.83