Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,328.85 / $1,328.85 / $1,328.85	Facility		$1,328.85	$1,328.85	$1,328.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,298.21 / $4,298.21 / $4,298.21	Professional		$4,298.21	$4,298.21	$4,298.21