Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $540.90 / $698.53 / $2,000.00	Facility		$540.90	$698.53	$2,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,273.00 / $4,273.00 / $4,273.00	Professional		$4,273.00	$4,273.00	$4,273.00