Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.05 / $785.50 / $4,966.62	Facility		$722.05	$785.50	$4,966.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $889.25	Professional		$889.25	$889.25	$889.25
United Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $889.25 / $889.25	Professional		$889.25	$889.25	$889.25