Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $1,148.15	Facility		$151.36	$181.97	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $6,309.57	Professional		$169.82	$234.42	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $234.42	Facility		$151.36	$169.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23