Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $122.11 / $280.72	Facility		$122.11	$122.11	$280.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $280.72 / $280.72	Professional		$280.72	$280.72	$280.72