Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $341.22 / $6,366.50	Facility		$203.71	$341.22	$6,366.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,126.00 / $3,126.00 / $3,126.00	Professional		$3,126.00	$3,126.00	$3,126.00