Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $57.94 / $90.00	Facility		$15.02	$57.94	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $93.35 / $198.55	Professional		$93.35	$93.35	$198.55