Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,490.17 / $4,104.64 / $4,104.64	Facility		$1,490.17	$4,104.64	$4,104.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.74 / $813.58 / $1,139.50	Professional		$620.74	$813.58	$1,139.50
United Facility/Professional Professional Modifier Low / Median / High Price $620.74 / $817.00 / $1,139.50	Professional		$620.74	$817.00	$1,139.50