Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,144.00 / $5,000.00	Facility		$1,144.00	$1,144.00	$5,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,144.00 / $1,144.00	Facility		$1,144.00	$1,144.00	$1,144.00