Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $140.66	Facility		$90.00	$90.00	$140.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $389.95 / $389.95	Professional		$52.30	$389.95	$389.95