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 / $1,490.17	Facility		$1,490.17	$1,490.17	$1,490.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $765.01 / $933.25 / $1,249.66	Professional		$765.01	$933.25	$1,249.66
United Facility/Professional Professional Modifier Low / Median / High Price $752.65 / $933.25 / $1,249.66	Professional		$752.65	$933.25	$1,249.66