Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,490.17 / $1,490.17 / $4,104.64	Facility		$1,490.17	$1,490.17	$4,104.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $825.22 / $1,422.88	Professional		$688.00	$825.22	$1,422.88
United Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $817.00 / $1,411.13	Professional		$688.00	$817.00	$1,411.13