Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $213.80 / $251.19	Facility		$52.48	$213.80	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $104.71 / $144.54	Professional		$23.44	$104.71	$144.54