Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.55 / $1,556.87 / $26,542.00	Facility		$581.55	$1,556.87	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,012.68 / $4,012.68 / $4,012.68	Professional		$4,012.68	$4,012.68	$4,012.68