Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $25.39 / $25.39	Professional		$25.39	$25.39	$25.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $25.39 / $25.39	Professional		$25.39	$25.39	$25.39