Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Professional		$104.00	$104.00	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Professional		$104.00	$104.00	$104.00