Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $520.05 / $1,219.25	Facility		$211.66	$520.05	$1,219.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,869.46 / $3,853.58 / $3,853.58	Professional		$1,869.46	$3,853.58	$3,853.58