Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,454.00	Facility		$55.00	$55.00	$1,454.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $465.40 / $465.40	Professional		$231.88	$465.40	$465.40