Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $1,500.00	Facility		$750.00	$750.00	$1,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $1,500.00	Facility		$750.00	$750.00	$1,500.00