Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.89 / $1,115.59 / $1,747.62	Facility		$731.89	$1,115.59	$1,747.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,292.00 / $4,714.54 / $4,714.54	Professional		$4,292.00	$4,714.54	$4,714.54