Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $90.00	Facility		$85.00	$85.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $129.85 / $129.85	Professional		$129.85	$129.85	$129.85