Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $5,888.44 / $14,791.08	Facility		$199.53	$5,888.44	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $11,220.18	Facility		$2,951.21	$4,786.30	$11,220.18