Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $4,168.69 / $5,888.44	Facility		$54.95	$4,168.69	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,467.37	Facility		$1,479.11	$1,479.11	$3,467.37