Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $90.00	Facility		$85.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $90.55 / $90.55	Professional		$27.90	$90.55	$90.55