Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $248.18 / $248.18	Facility		$248.18	$248.18	$248.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $199.68 / $710.30	Professional		$66.69	$199.68	$710.30