Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,072.75 / $1,771.79	Facility		$55.00	$1,072.75	$1,771.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,309.00 / $4,309.00 / $4,309.00	Professional		$4,309.00	$4,309.00	$4,309.00