Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $1,075.76 / $1,075.76	Facility		$573.62	$1,075.76	$1,075.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $366.30 / $1,651.71	Professional		$256.41	$366.30	$1,651.71