Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $145.94 / $4,276.00	Facility		$92.63	$145.94	$4,276.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $3,269.00 / $6,416.00	Facility		$1,424.00	$3,269.00	$6,416.00