Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.16 / $1,011.72 / $2,000.00	Facility		$569.16	$1,011.72	$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