Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $90.00 / $131.40	Facility		$21.15	$90.00	$131.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $322.23	Professional		$150.94	$150.94	$322.23