Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $16,218.10	Facility		$213.80	$213.80	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $91.20 / $1,995.26	Facility		$26.30	$91.20	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $138.04	Professional		$22.91	$42.66	$138.04