Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.33 / $1,463.33 / $1,463.33	Facility		$1,463.33	$1,463.33	$1,463.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,745.25 / $4,745.25 / $4,745.25	Professional		$4,745.25	$4,745.25	$4,745.25