Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.73 / $963.73 / $963.73	Professional		$963.73	$963.73	$963.73