Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $636.54 / $636.54	Professional		$403.00	$636.54	$636.54