Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.59 / $250.59 / $12,000.00	Facility		$250.59	$250.59	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $2,053.30 / $2,053.30	Professional		$916.00	$2,053.30	$2,053.30