Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $616.60	Facility		$223.87	$616.60	$616.60
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 $33.11 / $141.25 / $173.78	Facility		$33.11	$141.25	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $190.55	Professional		$85.11	$112.20	$190.55