Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.99 / $966.82 / $2,000.00	Facility		$497.99	$966.82	$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