Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.97 / $318.74 / $1,066.00	Facility		$262.97	$318.74	$1,066.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,635.00 / $3,635.00 / $3,635.00	Professional		$3,635.00	$3,635.00	$3,635.00