Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $90.55 / $90.55	Professional		$90.55	$90.55	$90.55