Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,150.25 / $1,150.25 / $1,150.25	Facility		$1,150.25	$1,150.25	$1,150.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,317.02 / $4,317.02 / $4,317.02	Professional		$4,317.02	$4,317.02	$4,317.02