Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,513.56	Professional		$1,047.13	$1,513.56	$1,513.56