Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $169.10 / $184.41	Facility		$169.10	$169.10	$184.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $360.57 / $360.57	Professional		$54.10	$360.57	$360.57