Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $871.47 / $1,357.98	Facility		$55.00	$871.47	$1,357.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,854.00 / $4,854.00 / $4,854.00	Professional		$4,854.00	$4,854.00	$4,854.00