Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,071.52 / $1,071.52	Facility		$309.03	$1,071.52	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $102.33	Facility		$38.90	$63.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $158.49	Professional		$95.50	$112.20	$158.49