Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $562.34 / $1,778.28	Facility		$269.15	$562.34	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $812.83	Professional		$309.03	$407.38	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $549.54	Professional		$295.12	$389.05	$549.54