Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.09 / $175.09 / $175.09	Facility		$175.09	$175.09	$175.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $299.36 / $299.36	Professional		$299.36	$299.36	$299.36