Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $839.09 / $839.09 / $26,542.00	Facility		$839.09	$839.09	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,601.95 / $9,427.81 / $9,427.81	Professional		$3,601.95	$9,427.81	$9,427.81