Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Facility		$54.95	$54.95	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $467.74	Professional		$234.42	$234.42	$467.74