Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
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 / $58.88	Facility		$26.92	$34.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $75.86	Professional		$63.10	$63.10	$75.86