Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $1,659.59	Facility		$54.95	$54.95	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $229.09	Professional		$151.36	$229.09	$229.09