Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $379.24 / $501.05	Facility		$55.00	$379.24	$501.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,200.29 / $1,434.72 / $1,434.72	Professional		$1,200.29	$1,434.72	$1,434.72