Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $158.49 / $426.58	Facility		$54.95	$158.49	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $758.58 / $758.58	Professional		$158.49	$758.58	$758.58