Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.06 / $128.06 / $128.06	Facility		$128.06	$128.06	$128.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $374.68 / $374.68	Professional		$374.68	$374.68	$374.68