Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $128.06	Facility		$90.00	$90.00	$128.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $374.68 / $374.68	Professional		$85.29	$374.68	$374.68