Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.94 / $866.74 / $1,252.97	Facility		$626.94	$866.74	$1,252.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $3,870.00	Professional		$3,870.00	$3,870.00	$3,870.00