Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $116.67 / $135.61	Facility		$116.67	$116.67	$135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $231.53 / $231.53	Professional		$231.53	$231.53	$231.53