Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $4,897.79	Facility		$54.95	$54.95	$4,897.79
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $489.78 / $489.78	Facility	AS	$302.00	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,818.38	Facility		$1,819.70	$2,398.83	$2,818.38