Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.96 / $499.96 / $499.96	Facility		$499.96	$499.96	$499.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $854.42 / $854.42 / $854.42	Professional		$854.42	$854.42	$854.42